Fujita Motoki, Tsuruta Ryosuke, Wakatsuki Jun, Takeuchi Hitoshi, Oda Yasutaka, Kawamura Yoshikatsu, Yamashita Susumu, Kasaoka Shunji, Okabayashi Kiyoshi, Maekawa Tsuyoshi
Advanced Emergency and Critical Care Center, Yamaguchi University Hospital, 1-1-1 Minami-kogushi, Ube, Yamaguchi 755-8505.
Intern Med. 2004 Aug;43(8):750-4. doi: 10.2169/internalmedicine.43.750.
We report a case of methanol intoxication, which was not distinguished from ethylene glycol intoxication during treatment. A 65-year-old man was transferred to our emergency department because of drowsiness and remarkable metabolic acidosis. He was intubated because his consciousness disturbance worsened. The diagnosis was suspected as methanol or ethylene glycol intoxication in addition to ethanol intoxication. Administration of ethanol and hemodialysis were chosen for his essential treatments. When he was extubated, he complained about visual loss. His brain computed tomography scans revealed putaminal lesions, which are rarely reported in methanol intoxication. Diagnosis of methanol intoxication was confirmed by the serum high methanol levels.
我们报告一例甲醇中毒病例，该病例在治疗过程中未与乙二醇中毒区分开来。一名65岁男性因嗜睡和明显的代谢性酸中毒被转至我院急诊科。由于意识障碍加重，他接受了气管插管。除乙醇中毒外，诊断怀疑为甲醇或乙二醇中毒。选择给予乙醇和血液透析作为其主要治疗方法。当他拔管后，诉说视力丧失。他的脑部计算机断层扫描显示壳核病变，这在甲醇中毒中很少有报道。血清中高甲醇水平证实了甲醇中毒的诊断。
