Hemodialysis as a Treatment of Severe Ethanol Poisoning

Hemodialysis as a Treatment of Severe Ethanol Poisoning
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血液透析治疗严重乙醇中毒

DOI:
10.1177/039139889802100105
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发表时间:
1998
影响因子:
1.7
通讯作者:
T. Ing
T. Ing
中科院分区:
工程技术4区
文献类型:
--
作者:
W. Atassi;A. A. Noghnogh;R. Hariman;S. Jayanthi;S. Cheung;C. Kjellstrand;T. Ing

文献摘要

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一名64岁女性因严重乙醇中毒而出现昏迷和休克。她最初明显升高的血液酒精浓度为136.5 mM,经过4小时的保守治疗,包括机械呼吸和静脉输液、血管加压药和抗缩药,仅下降了16%。随后的血液透析迅速将她的血液乙醇浓度降低到较低的危险水平,并迅速恢复她的意识。血液透析可以挽救生命,对于严重乙醇中毒的患者应予以考虑。
A 64-year-old woman presented with coma and shock due to severe ethanol intoxication. Her initial, markedly elevated blood alcohol level of 136.5 mM fell only by 16% after a 4-hour period of conservative treatment consisting of mechanical respiration and the administration of intravenous fluids, vasopressors and inotropics. Subsequent hemodialysis rapidly reduced her blood ethanol concentrations to less threatening Ievels, with prompt restoration of her consciousness. Hemodialysis may be Iife-saving and should be considered in patients with severe ethanol intoxication.