严重的乙烯基醇毒性导致持续性病
Wenxia Lu1, Bishal Bharati1, Abhishesh Wagle1
1Medicine, Albert Einstein College of Medicine, New York, New York, USA.
BMJ case reports
|March 13, 2026
概括
乙烯糖醇中毒,通常来自受污染的产品,导致全球高死亡率. 早期识别和治疗对于预防这种毒素造成的严重并发症和长期损伤至关重要.
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.
- 紧急医疗 紧急医疗
背景情况:
- 乙烯糖醇毒性是一个全球性的健康问题,特别是在低收入国家由于受污染的咳糖.
- 虽然与美国相比,全球报告不足,但乙烯基醇中毒在全球范围内死亡率更高.
- 在美国,乙烯基醇毒性最常见的是由于意外摄入而产生的.
研究的目的:
- 在患有高血压的老年男性中报告乙烯糖醇毒性的病例.
- 要突出临床表现,诊断发现和乙烯糖醇中毒的管理.
- 强调迅速干预的重要性,以防止严重的结局和损伤.
主要方法:
- 一个老年男性的病例报告显示没有反应和发作.
- 实验室分析显示,严重的离子代谢酸性化,高位隙,高乳酸盐和急性损伤.
- 尿液分析发现了氧沙酸晶体;血清乙醇最初很低.
主要成果:
- 患者接受了紧急治疗,包括福梅皮,胺,铁素和血液透析.
- 经确认的乙烯糖醇度为服用后3天的188mg/dL.
- 在为期两个月的随访中,患者的血清肌素水平仍然升高,这表明损伤持续.
结论:
- 这一案例强调了早期识别乙烯糖醇毒性的急需性.
- 迅速干预对于减轻严重并发症和降低长期损伤风险至关重要.
- 在乙烯糖醇中毒的情况下,及时治疗可以显著改善患者的治疗结果.
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