由高剂量口服甲醇中毒引起的隐性脑出血:一个病例报告
Yuncheng Tang1, Pengfei Liang1, Qiming Fang1
1Department of Emergency Medicine, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China.
Frontiers in pharmacology
|February 11, 2026
概括
急性甲醇中毒可能会导致严重的代谢酸和脑损伤. 这一案例凸显了内出血的罕见但严重并发症,强调了早期诊断和干预的必要性.
科学领域:
- 毒理学 毒理学 毒理学
- 神经学 神经学
- 紧急医疗 紧急医疗
背景情况:
- 急性甲醇中毒是一种危及生命的疾病.
- 它通常表现为严重的代谢酸化和中枢神经系统损伤.
- 内出血是甲醇中毒的罕见但关键并发症.
研究的目的:
- 报告一种高剂量甲醇中毒的病例,导致基底腺动脉出血.
- 要突出与这种罕见表现相关的诊断和管理挑战.
- 强调早期神经成像和干预的重要性.
主要方法:
- 分析了一例高剂量口服甲醇中毒病例.
- 这位患者出现了严重的代谢酸和昏迷.
- 诊断工具包括部CT,治疗包括血液透析,药物治疗和脑的手术干预.
主要成果:
- 患者在甲醇中毒后出现了基底质出血.
- 尽管接受了包括血液透析和心室排水在内的治疗,但患者仍然昏迷.
- 阻塞性水头症使临床过程复杂化.
结论:
- 大脑出血可能是甲醇中毒的阴险并发症.
- 它可能在摄入后迅速发生.
- 对于疑似神经系统恶化或脑水性来说,迅速的神经成像和干预至关重要.
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