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. 2021 Jul 6;9(19):5082–5091. doi: 10.12998/wjcc.v9.i19.5082

Table 3.

Interval from exposure to diagnosis and treatments of five patients with acute thallium poisoning

Patient No. Interval from exposure to diagnosis (d) Time of receiving treatments after exposure
Duration of PB treatment (d) Urine thallium concentration (µg/L)
Blood thallium concentration (µg/L)
Sodium thiosulfate
DMPS
HP
PB
Before treatment
After treatment
Before treatment
After treatment
1 9 3rd day 12th day 15th day 15th day 14 7200 160 280 0
2 8 3rd day 10th day 10th day 11th day 15 5100 130 210 0
3 11 10th day 11th day 15th day 15th day 15 250 0 150 0
4 12 11th day 11th day 15th day 15th day 14 370 0 40 0
5 12 11th day 11th day 15th day 15th day 16 580 0 46 0

The urine and blood samples were successively sent to Hospital 307 of Chinese People’s Liberation Army to confirm the diagnosis of acute thallium poisoning. The day when the patients underwent detoxification treatments after exposure is listed in the table. The Prussian blue (PB) treatment was implemented in Hospital 307 of Chinese People’s Liberation Army and lasted for 14 to 16 d. The urine and blood thallium concentration before and after PB treatment was recorded. Sodium thiosulfate: 0.64 g, intravenous injection per day; DMPS: Dimercaptopropane sulfonate 0.25 g, intramuscular injection twice daily; HP: Hemoperfusion; PB: Prussian blue 3.3 g in mannitol 50 mL, orally four times daily.