Artigo Revisado por pares

Laryngeal survey in glyphosate intoxication: a pathophysiological investigation

1997; SAGE Publishing; Volume: 16; Issue: 10 Linguagem: Inglês

10.1177/096032719701601007

ISSN

1477-0903

Autores

Dong-Zong Hung, Jou‐Fang Deng, Tain-Chen Wu,

Tópico(s)

Folate and B Vitamins Research

Resumo

Respiratory aspiration is a serious potential complication of glyphosate-surfactant herbicide intoxication. From October 1, 1992 to June 30, 1996, we performed laryngeal evaluations in 53 cases to investigate the possible pathophysiological mechanism of glyphosate intoxication. There were 36 cases with significant laryngeal injury. The blood WBC count were significantly higher and the hospital stays were significantly longer in patients with laryngeal injury, when compared with patients with no laryngeal injury (Student t-test, P < 0.005). Laryngeal injury was strongly correlated with aspiration pneumonitis (mean 2 = 4.449, P < 0.05). We concluded that laryngeal injury may be the major cause of aspiration that leads to some degree of morbidity and mortality, following concentrated glyphosate-surfactant herbicide intoxication. Laryngeal survey may be indicated in cases of glyphosate-surfactant intoxication, to evaluate the severity of mucosal injury, and to apply adequate supportive management as early as possible to prevent from aspiration complications and even mortality.

Referência(s)