Transdermal Spirit (Methanol) Poisoning: A Case Report.
Transdermal Spirit (Methanol) Poisoning: A Case Report.
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DOI：
10.5812/ircmj.23767
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发表时间：
2016-11
影响因子：
0.4
通讯作者：
Orucoglu A
中科院分区：
文献类型：
--
作者：
Dogan H;Yilmaz Karakus B;Serefoglu Cabuk K;Uzun O;Yenice H;Orucoglu A
甲醇是一种高毒性物质，甲醇中毒会导致严重的健康状况。甲醇中毒发生时，它是消耗各种方法，如口服，吸入和透皮。经皮中毒很少见，会引起严重的健康并发症。一名59岁的男性患者因视力模糊和膝关节疼痛被送入急诊室。由于疼痛，他在膝盖上缠上了浸透酒精的棉花，并在晚上离开了10个小时。体格检查时，仅膝关节发红。眼底镜检查时，未发现中毒体征，但动脉血气分析显示高阴离子间隙代谢性酸中毒。因重度酸中毒进行血液透析，患者入住ICU。患者接受治疗并从ICU出院，无后遗症。甲醇中毒在我国急诊科的发生情况多种多样，历史也各不相同。在世界不同地区，经皮中毒病例可能更普遍，可能会被忽视，因此，我们的目的是介绍这一病例。
Methanol is a highly toxic substance and methanol poisoning results in severe health situations. Methanol poisoning occurs when it is consumed by various methods such as orally, by inhalation, and transdermally. Transdermal poisoning is rarely seen and causes severe health complications. A 59-year-old male patient was admitted to the emergency room due to blurred vision and knee pain. He had wrapped alcohol soaked cotton around his knees because of pain, and left it for 10 hours at night. On physical examination the knees only exhibited redness. Upon funduscopic examination, signs of poisoning were not seen, but a high anion gap metabolic acidosis was shown by arterial blood gas analysis. Hemodialysis was performed for severe acidosis and the patient was admitted to the ICU. The patient was treated and discharged from the ICU without sequelae. Methanol poisoning presents to the emergency department in our country with many different situations and with varying histories. In different parts of the world, transdermal intoxication cases may be more prevalent and they may be overlooked, therefore, we aimed to present this case.