Star Fruit Intoxication in Uremic Patients: Potential Pitfalls in the Emergency Department

尿毒病人發生楊桃中毒：急診室的潛在陷阱

沈大川(Ta-Chuan Shen) ； 楊鬱(Yu Yang) ； 許上人(Shang-Ren Hsu) ； 張進富(Chin-Fu Chang) ； 周志中(Chu-Chung Chou)

《中華民國急救加護醫學會雜誌》 16卷1期 (2005/03) Pp. 37-42

https://doi.org/10.30018/JECCM.200503.0006

摘要

楊桃在東方國家是一種很受歡迎的水果。然而，尿毒病人在吃了楊桃之後會伴隨有各種不同的臨床症狀及結果，甚至死亡。有四位尿毒病患在吃了楊桃之後因為不同的神經學異常而住到醫院。急診的醫師容易忽略這種可能致命的情況，而採用不適當的治療。這篇文章主要是探討在診斷尿毒患者發生楊桃中毒的潛在陷阱及各種治療方式的效果。

關鍵字

楊桃 ； 尿毒病人 ； 神經毒素 ； 血液透析

並列摘要

Star fruit is a popular fruit in the Orient but its ingestion is associated with a variety of symptoms and outcomes, including death, in uremic patients. Four such uremic patients, presenting with different neurological dysfunctions after consuming star fruit, have been admitted to our hospital. The diagnosis of this potentially lethal condition is often missed by the emergency department physician, resulting in inappropriate treatment. The aim of this paper is to discuss the potential diagnostic pitfalls of star fruit intoxication in uremic patients and the efficacy of different therapeutic approaches.

並列關鍵字

star fruit ； uremic patient ； neurotoxin ； hemodialysis