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摘要


口服二甲苯(xylene)中毒十分罕見,以往文獻僅有三例個案,且均為死後解剖才診斷,缺乏中毒之臨床資料。本文報告一口服二甲苯致死案例,我們以氣相層析/質譜儀證實其血中及尿液中均有二甲苯。此個案提供了口服二甲苯中毒之臨床資訊,並可以提醒醫師注意有特殊氣味良危急病人,以即早診斷有機溶劑之中毒。

並列摘要


Acute toxicity due to xylene ingestion is rare. There have lnly been three cases reported, all of which were diagnosed after autopsy, and only forensic data were provided. We report on a homicidal case of xylene ingestion, and confirmed that xylenes were present in the patient’s blood and urine by gas chroma-tography/mass spectrometry. We developed a better method to identify and measure the concentrations of xylenes in biological samples. Our case provides additional clinical about toxicity due to xylene ingestion. We also with to present this case to remind physicians that a particular body odor could be a clue for diagnosing organic solvent intoxication in critically ill patients.

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