吃苦杏仁真的会引起中毒,不是开玩笑

到pubmed去找一下,能找到案例报道。特别是儿童,有引起死亡的病例。下面举两个比较近期的文献。

个人不理解为什么要吃有毒的东西来“养生”。如果一定要吃,建议放在小孩拿不到的地方。

Cyanide poisoning caused by ingestion of apricot seeds
 Annals of Tropical Paediatrics, Volume 30 Issue 1 (01 March 2010), pp. 39-43
 
B. N. Akyildiz; S. Kurto?lu; M. Kondolot; A. Tunç
 
 
Aim: To report diagnostic, clinical and therapeutic aspects of cyanide intoxication resulting from ingestion of cyanogenic glucoside-containing apricot seeds.
 
Methods: Thirteen patients admitted to the Pediatric Intensive Care Unit (PICU) of Erciyes University between 2005 and 2009 with cyanide intoxication associated with ingestion of apricot seeds were reviewed retrospectively.
Results: Of the 13 patients, four were male. The mean time of onset of symptoms was 60 minutes (range 20 minutes to 3 hours). On admission, all patients underwent gastric lavage and received activated charcoal. In addition to signs of mild poisoning related to cyanide intoxication, there was severe intoxication requiring mechanical ventilation (in four cases), hypotension (in two), coma (in two) and convulsions (in one). Metabolic acidosis (lactic acidosis) was detected in nine patients and these were treated with sodium bicarbonate. Hyperglycaemia occurred in nine patients and blood glucose levels normalised spontaneously in six but three required insulin therapy for 3–6 hours. Six patients received antidote treatment: high-dose hydroxocobalamin in four and two were treated with a cyanide antidote kit in addition to high-dose hydroxocobalamin. One patient required anticonvulsive therapy. All patients recovered and were discharged from the PICU within a mean (SD, range) 3.1 (1.7, 2–6) days.
 
Conclusion: Cyanide poisoning associated with ingestion of apricot seeds is an important poison in children, many of whom require intensive care.
 
 
Acute Cyanide Toxicity Caused by Apricot Kernel Ingestion
 
Jeffrey R Suchard, MD, Kevin L Wallace, MD, Richard D Gerkin, MD
 
Abstract
A 41-year-old woman ingested apricot kernels purchased at a health food store and became weak and dyspneic within 20 minutes. The patient was comatose and hypothermic on presentation but responded promptly to antidotal therapy for cyanide poisoning. She was later treated with a continuous thiosulfate infusion for persistent metabolic acidosis. This is the first reported case of cyanide toxicity from apricot kernel ingestion in the United States since 1979. [Suchard JR, Wallace KL, Gerkin RD: Acute cyanide toxicity caused by apricot kernel ingestion. Ann Emerg Med December 1998;32:742-744.
 
From the Department of Medical Toxicology, Good Samaritan Regional Medical Center, Phoenix, AZ.
 

所有跟帖: 

下面的女士说了。人有选择死法的自由。愚昧着死去可能是幸福的。 -相信科学- 给 相信科学 发送悄悄话 (0 bytes) () 08/29/2014 postreply 14:30:53

别为了抬杠发帖,你这样没什么帮助。楼主发的贴是她知道的信息,自然是多多益善,大家自己会分辨 -Manymore- 给 Manymore 发送悄悄话 Manymore 的博客首页 (0 bytes) () 08/29/2014 postreply 14:38:42

啊啊,合法杀人和非法行医 -ephd- 给 ephd 发送悄悄话 (0 bytes) () 08/29/2014 postreply 14:42:14

你已经劝说过了,尽责了,决定由患者本人决定。癌症的生存率取决于恶性程度,grade1的治不治,预后都很好,Grade3 的癌症, -betadine- 给 betadine 发送悄悄话 (69 bytes) () 08/29/2014 postreply 14:46:55

嗯。就是这话。外人再激动也没用 -欣心妈妈- 给 欣心妈妈 发送悄悄话 (0 bytes) () 08/29/2014 postreply 15:24:16

谢谢。我知道刮风的厉害,从未想过会流行生吃苦杏仁。 -viewfinder- 给 viewfinder 发送悄悄话 viewfinder 的博客首页 (0 bytes) () 08/29/2014 postreply 15:53:34

谢谢,并点赞。:)) -美妙- 给 美妙 发送悄悄话 (0 bytes) () 08/29/2014 postreply 16:38:29

土耳其苦杏仁与甜杏仁含苦杏仁甙的比较表(不同年份含量不一) -闽姑- 给 闽姑 发送悄悄话 闽姑 的博客首页 (1857 bytes) () 08/29/2014 postreply 18:47:30

谢谢提供翔实数据。 -TBz- 给 TBz 发送悄悄话 TBz 的博客首页 (0 bytes) () 08/29/2014 postreply 23:02:15

是啊,活下来不容易啊,所以有很多关于什么能吃什么不能吃的智慧。 -viewfinder- 给 viewfinder 发送悄悄话 viewfinder 的博客首页 (0 bytes) () 08/29/2014 postreply 16:04:04

您这标题一惊一乍的吓人啊~~ -随意- 给 随意 发送悄悄话 随意 的博客首页 (0 bytes) () 08/29/2014 postreply 16:24:39

给你点赞~! -美妙- 给 美妙 发送悄悄话 (0 bytes) () 08/29/2014 postreply 16:37:09

点赞这句话: 为什么要吃有毒的东西来“养生” -littlecat8- 给 littlecat8 发送悄悄话 littlecat8 的博客首页 (33 bytes) () 08/29/2014 postreply 18:29:42

不少人有leaky gut syndrome, 吃点什么东东迅速就被血液吸收了去,一般人没事的这些人就有可能出问题 -Manymore- 给 Manymore 发送悄悄话 Manymore 的博客首页 (256 bytes) () 08/29/2014 postreply 20:33:30

甄寰传里那谁不就是吃介个自杀的? -绿野蚂蚁- 给 绿野蚂蚁 发送悄悄话 绿野蚂蚁 的博客首页 (0 bytes) () 08/30/2014 postreply 12:36:23

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