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病例报告:在一个成年人中,在大量摄入油漆稀释剂后,延迟的胃肠道结构并发症需要手术
Hayeon Lee1, Haewon Lee1, Min Chang Kang1
1Department of Critical Care Medicine, Uijeongbu Eulji Medical Center, Eulji University College of Medicine, Uijeoungbu, Republic of Korea.
Frontiers in toxicology
|March 13, 2026
概括
大量口服油漆稀释剂的摄入会导致严重的,延迟的胃肠道损伤,特别是在末端大肠. 在碳化合物暴露后患有耐火性阴茎和血症的患者中,迅速的手术干预至关重要.
科学领域:
- 毒理学 毒理学 毒理学
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 油漆稀释剂含有挥发性芳香碳化合物 (例如,,),通过吸入与急性全身毒性有关.
- 由于大量口服涂料稀释剂的摄入而导致的严重,延迟的胃肠道结构并发症很少见.
研究的目的:
- 报告一个罕见的严重,延迟的胃肠道结构性并发症的罕见病例,大规模口服涂料稀释剂摄入后.
- 突出潜在的不可逆转损伤和外科手术的重要性.
主要方法:
- 一个病例报告,一个68岁的男性有着酒精的病史,他摄入了500毫升的油漆稀释剂.
- 分析了临床表现,诊断成像 (CT扫描),手术发现和病理结果.
- 患者的管理包括重症监护,保守的治疗骨,以及最终的外科干预.
主要成果:
- 这位患者出现了昏迷,低血压,心肌梗塞,低温和血.
- 发育了耐火性阴茎,成像显示了远端小肠壁的加厚和收缩.
- 外科探索证实了广泛的粘附性,80厘米的末端骨狭窄,近端跳伤狭窄和,需要132厘米的小肠切除.
结论:
- 大量口服油漆稀释剂的摄入会导致严重的,延迟的肠道结构性衰竭,特别是在末端大肠.
- 在碳化合物摄入后患有耐火性乳头和血症的患者需要高度怀疑慢性结构性损伤.
- 在这种情况下,及时的手术干预可能对恢复至关重要.
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