RESUMO
AIM: To evaluate the antidote properties of acizol in acute carbon monoxide poisoning (ACMP). SUBJECTS AND METHODS: The study included 70 patients with ACMP. Of them 35 patients received a package of medical measures, which involved 6% acizol solution injected in a dose of 1 ml on hospital admission and an hour later. The efficacy of acizol was evaluated using clinical and laboratory studies. RESULTS: Just an hour after acizol injection, there was an average 2-fold reduction in the blood concentration of carboxyhemoglobin as compared to the baseline levels. Consciousness recovered 1.5 times more quickly than in the control group. The clinical efficacy of acizol was supported by positive laboratory tests. CONCLUSION: The use of acizol in ACMP assists in increasing the rate of detoxification and positively affects some blood laboratory parameters.
Assuntos
Antídotos/administração & dosagem , Intoxicação por Monóxido de Carbono/tratamento farmacológico , Imidazóis/administração & dosagem , Compostos Organometálicos/administração & dosagem , Adulto , Idoso , Antídotos/farmacocinética , Intoxicação por Monóxido de Carbono/diagnóstico , Feminino , Escala de Resultado de Glasgow , Humanos , Imidazóis/farmacocinética , Injeções , Masculino , Pessoa de Meia-Idade , Compostos Organometálicos/farmacocinética , Resultado do Tratamento , Adulto JovemRESUMO
Ninety-five patients with acute poisonings with psychotropic agents, barbiturates, amitriptyline, leponex, cholinolytics, and organophosphorus insecticides were treated by gastro-enteroadsorption making use of activated coal. In order to enhance propulsive function of the gastrointestinal tract, serotonin adipinate was repeatedly administered in a dose of 5 to 20 mg. Evacuation of the enteroadsorbent in the rectum was enhanced fivefold in comparison with a control group of similar patients administered traditional drugs (proserine, pituitrin, cerucal). As a result of such therapy, the toxicogenic phase of poisoning was shortened and mortality in the observed group reduced twofold in patients poisoned with psychotropic agents, 5.4 times in those with barbiturate poisoning, and 3.5 times in those with organophosphorus poisoning.