RESUMO
Se describe el primer caso publicado en Cuba de envenenamiento letal por ingestión intencional de fosfuro de aluminio, un pesticida usado contra los roedores e insectos. Se revisan los principales efectos tóxicos. Entre ellos, destaca la hipoglicemia, manifestación infrecuentemente descrita y los cambios en el electrocardiograma sugerentes de infarto subendocardico (AU)
This is the first Cuban report of a suicide carried out by lethal intake of aluminum phosphide, a pesticide used to control rodents and insects. We review the main toxic effects, placing emphasis on hypoglycemia, which is seldom mentioned, and electrocardiographic abnormalities suggestive of subendocardial infarction (AU)
Assuntos
Humanos , Masculino , Adolescente , Suicídio , Compostos de Alumínio/toxicidade , Intoxicação/fisiopatologia , Praguicidas/toxicidade , Infarto do Miocárdio/induzido quimicamente , Tratamento de Emergência/métodosRESUMO
INTRODUCTION AND OBJECTIVE: A prospective study was carried out in order to determine the behaviour of the arterial blood pressure in patients with cerebrovascular disease admitted to our hospital. In this study, 365 case histories were reviewed. MATERIAL AND METHODS: There was a higher percentage of previous clinical histories of hypertension, diastolic hypertension, systolic hypertension on admission and labile arterial pressure in patients with hemorrhagic disease. RESULTS: Arterial pressure at the time of admission was higher in those patients who had a previous history of hypertension, had a haemorrhagic episode or in those who died. In patients with a past history of hypertension there were higher incidences of hypertension on admission, labile hypertension and death. CONCLUSION: It is concluded that changes in arterial blood pressure are frequent in patients with cerebrovascular disease, particularly haemorrhagic disease. This would seem to have a direct effect on the neurological course.
