Abstract:Colchicine is mainly used clinically for the treatment of gout,but its therapeutic dose is not much different from that of poisoning.Colchicine is rapidly absorbed after oral administration,and after poisoning,it will inhibit the mitosis of the cells,resulting in damage to multiple organ functions and even death.Colchicine has no effective antidote,early gastric lavage and symptomatic support treatment is necessary.This patient suffered from multiple organ failure after taking over-lethal dose of Colchicine.After continuous support therapy such as continuous renal replacement therapy,anti-infection,non-invasive ventilation,application of cell colony stimulating factor,blood product infusion,nutritional support,the patient successfully discharged.
陆丽丽; 孔德华; 王见斌; 张泽华. 致死量秋水仙碱中毒及救治1例[J]. 中国当代医药, 2020, 27(14): 195-197.
LU Li-li ; KONG De-hua; WANG Jian-bin ; ZHANG Ze-hua. A case report of lethal dose Colchicine poisoning and treatment. 中国当代医药, 2020, 27(14): 195-197.
Alinejad S,Zamani N,Abdollahi M,et al.A narrative review of acute adult poisoning in Iran[J].Iran J Med Sci,2017,42(4):327-346.
[2]
Lee S,Kim D,Kim T,et al.Anion gap and base deficit are predictors of mortality in acute pesticide poisoning[J].Hum Exp Toxicol 2018,38(2):1-8.
[3]
Hirayama I,Hiruma T,Ueda Y,et al.A critically ill patient after a colchicine overdose below the lethal dose:a case report[J].J Med Case Rep,2018,12(1):1-4.
[4]
Stapczynski JS,Rothstein RJ,Gaye WA,et al.Colchicine overdose:Report of two cases and review of the literature[J].Ann Emerg Med,1981,10(7):364-369.
Bismuth C,Baud F,Dally S.Standardized prognosis evaluation in acute toxicology its benefit in colchicine,paraquat and digitalis poisonings[J].J Toxicol Clin Exp,1986,6(1):33-38.
[7]
Acute Respiratory Distress Syndrome Network,Brower RG,Matthay MA,et al.Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome[J].N Engl J Med,2000,342(18):1301-1308.
[8]
Finkelstein Y,Aks SE,Hutson JR,et al.Colchicine poisoning:the dark side of an ancient drug[J].Clin Toxicol(Phila),2010,48(5):407-414.
[9]
Zawahir S,Gawarammana I,Dargan PI,et al.Activated charcoal significantly reduces the amount of colchicine released from Gloriosa superba in simulated gastric and intestinal media[J].Clin Toxicol(Phila),2017,55(8):914-918.
[10]
Murray SS,Kramlinger KG,Mcmichan JC,et al.Acute toxicity after excessive ingestion of colchicine[J].Mayo Clin Proc,1983,58(8):528-532.
[11]
Eddleston M,Fabresse N,Thompson A,et al.Anti-colchicine Fab fragments prevent lethal colchicine toxicity in a porcine model:a pharmacokinetic and clinical study[J].Clin Toxicol,2018,56(8):773-781.
[12]
Fabresse N,Allard J,Sardaby M,et al.LC-MS/MS quantification of free and fab-bound colchicine in plasma,urine and organs following colchicine administration and colchicine-specific fab fragments treatment in Gottingen minipigs[J].J Chromatogr B Analyt Technol Biomed Life,2017,1060:400-406.
[13]
Polat E,Tuygun N,Akca H,et al.Evaluation of the Colchicine poisoning cases in a pediatric intensive care unit:Five year Study[J].J Emerg Med,2017,52(4):499-503.
[14]
Boisrame-Helms J,Rahmani H,Stiel L,et al.Extracorporeal life support in the treatment of colchicine poisoning[J].Clin Toxicol(Phila),2015,53(8):827-829.
[15]
Demirkol D,Karacabey BN,Aygun F.Plasma exchange treatment in a case of colchicine intoxication[J].Ther Apher Dial,2015,19(1):95-97.