Satar S, Toprak N, Gokel Y, Sebe A
Emergency Department, Faculty of Medicine, Cukurova University, Balcali-Adana, Turkey.
Eur J Emerg Med. 2001 Sep;8(3):245-8. doi: 10.1097/00063110-200109000-00016.
Nearly everyone is at risk of acute and chronic toxic exposure to hazardous substances in the ambient environment. Morbidity and mortality following an overdose are reduced by intensive appropriate supportive therapy. A well-trained medical team is required for the administration of intensive clinical care, which includes enough equipment for monitoring the patient's status. In this paper we present a student who, after attending a dentist faculty, ingested 100 grams of pure inorganic mercury in order to commit suicide and was treated with forced diuresis, whole bowel irrigation, and D-penicillamine. The latter was found following 48 hours of therapy and only used for 4 days because of lack of availability of other antidotes for mercury in our city.
几乎每个人都面临着在周围环境中急性和慢性接触有害物质的风险。过量摄入后,通过强化适当的支持性治疗可降低发病率和死亡率。实施强化临床护理需要一支训练有素的医疗团队,其中包括足够的设备来监测患者的状况。在本文中,我们介绍一名学生,该学生在就读牙科学院后,为了自杀摄入了100克纯无机汞,并接受了强制利尿、全肠道灌洗和D-青霉胺治疗。后者是在治疗48小时后发现的,由于我们城市缺乏其他汞解毒剂,仅使用了4天。