Sipahi Tansu, Karakurt Cemsit, Bakirtas Arzu, Tavil Betül
Dr. Sami Ulus Children's Hospital, Department of Pediatrics, Turkey.
Indian J Pediatr. 2002 Nov;69(11):947-9. doi: 10.1007/BF02726009.
Intoxication is one of the most common causes of admissions to emergency department in pediatric age group. Incidence of iron poisoning gradually increased because of wide spread use of iron containing drugs.
In this report, we present five cases of iron ingestion who were admitted to our emergency department within a year.
Whole bowel irrigation in addition to gastric lavage with an iron dose of over 50 mg/kg as well as deferoxamine treatment for patients in whom clinical and laboratory indications are present.
The prompt recognition and treatment of children with acute iron poisoning is the single and the most critical point for decreasing the morbidity and mortality associated with iron containing products.
中毒是儿童年龄组急诊入院最常见的原因之一。由于含铁药物的广泛使用,铁中毒的发生率逐渐上升。
在本报告中,我们呈现了一年内入住我院急诊科的5例铁摄入病例。
铁摄入量超过50mg/kg时,除洗胃外还应进行全肠道灌洗,对于有临床和实验室指征的患者应给予去铁胺治疗。
对急性铁中毒儿童的及时识别和治疗是降低与含铁产品相关的发病率和死亡率的唯一也是最关键的一点。