RESUMO
BACKGROUND: Organophosphorus poisoning (OP) is one of the common critical conditions in emergency departments in China, which is usually caused by suicide by taking oral drugs. Patients with severe OP have disturbance of consciousness, respiratory failure, toxic shock, gastrointestinal dysfunction, and so on. As far as we know, the perforation of the duodenum caused by OP has not been reported yet. CASE SUMMARY: A 33-year-old male patient suffered from acute severe OP, associated with abdominal pain. Multiple computed tomography scans of the upper abdomen showed no evidence of intestinal perforation. However, retrograde digital subtraction angiography, performed via an abdominal drainage tube, revealed duodenal perforation. After conservative treatment, the symptoms eased and the patient was discharged from hospital. CONCLUSION: Clinicians should pay close attention to gastrointestinal dysfunction and abdominal signs in patients with severe OP. If clinical manifestation and vital signs cannot be explained by common complications, stress duodenal ulcer or perforation should be highly suspected.
RESUMO
A simple and effective strategy for designing a ratiometric fluorescent nanosensor is described in this work. A carbon dots (CDs) based dual-emission nanosensor for Bisphenol A (BPA) was prepared by coating CDs on the surface of dye-doped silica nanoparticles. The fluorescence of dual-emission silica nanoparticles was quenched in hydrochloric acid by potassium bromate (KBrO3) oxidation; BPA inhibited KBrO3 oxidation, resulting in the ratiometric fluorescence response of dual-emission silica nanoparticles. Several important parameters affecting the performance of the nanosensor were investigated and optimized. The detection limit of this nanosensor was 0.80ng mL-1 with a linear range from 10 to 500ng mL-1. This was applied successfully to determine BPA in the leached solution of different plastic products with satisfactory results.