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Isobutyl-nitrite-induced methemoglobinemia; treatment with an exchange blood transfusion during hyperbaric oxygenation.

作者信息

Jansen T, Barnung S, Mortensen C R, Jansen E C

机构信息

Department of Anesthesia, Hyperbaric Unit, University Hospital of Copenhagen, Copenhagen, Denmark.

出版信息

Acta Anaesthesiol Scand. 2003 Nov;47(10):1300-1. doi: 10.1046/j.1399-6576.2003.00246.x.

DOI:10.1046/j.1399-6576.2003.00246.x
PMID:14616332
Abstract

A young man was accidentally intoxicated with isobutyl nitrite by a threefold lethal dose. Due to nitrites' ability to change hemoglobine into methemoglobine the patient showed signs of severe hypoxia, which could not be treated by conventional means. Therefore the patient was rapidly transferred to a hyperbaric chamber. The patient was treated with pure oxygen at 283 kPa under which a blood exchange transfusion was performed. The patient fully recovered.

摘要

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Isobutyl-nitrite-induced methemoglobinemia; treatment with an exchange blood transfusion during hyperbaric oxygenation.
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