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由于摄入"木材漂白剂"的急性功能衰竭,养蜂虫杀虫剂
Stephen Douglas1, Jon B Cole2, Carrie L Oakland3
1University of Minnesota Medical School, Hennepin Healthcare, Minneapolis, MN, United States of America.
The American journal of emergency medicine
|November 26, 2024
概括
爱好者养蜂者使用木材漂白剂 (酸) 控制虫,不小心摄入了这种化学物质. 这导致了严重的损伤和代谢性酸症,凸显了氧化酸毒性的危险性.
科学领域:
- 毒理学 毒理学 毒理学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 环境健康 环境健康
背景情况:
- 木材漂白剂, >95%的酸配方,被养蜂人用于 Varroa 虫控制.
- 摄入木材漂白剂 (酸) 在医学文献中没有很好的记录.
- 意外或故意摄入可导致严重的健康后果.
研究的目的:
- 在摄入木材漂白剂 (酸) 后报告严重的代谢酸和急性损伤病例.
- 强调在患有离子代谢酸性化症的患者中考虑酸毒性的重要性,特别是那些从事养蜂的人.
- 突出早期脏病咨询和血液透析的潜在需求.
主要方法:
- 一个46岁的男子在摄入含有木材漂白剂的混合物后出现恶心和吐的病例报告.
- 临床评估包括实验室检查 (肌素,血液气体分析) 和脏活检.
- 治疗包括液体复苏,福梅皮,胺,氧素和血液透析.
主要成果:
- 最初的表现显示肌素升高 (2.46 mg/dL),随着复苏改善.
- 重新入院显示显著恶化损伤 (肌素16.8 mg/dL),高阴离子隙代谢酸症和无尿症.
- 脏活检证实了氧酸盐脏病;开始并继续进行血液透析.
结论:
- 在从事养蜂的个人中,离子缺口代谢酸性化应该引起对酸毒性的怀疑.
- 及时识别和管理,包括血液透析,对于治疗酸中毒和预防不可逆转的功能衰竭至关重要.
- 建议及早进行脏病学咨询,以有效管理因摄入氧化酸而导致的急性损伤.
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