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[Ethylene glycol intoxication. Important differential diagnosis in comatose patients with metabolic acidosis].

作者信息

Müller R, Planck J, Heveling T

机构信息

Abteilung für Neurologie, Städtisches Klinikum München GmbH, Krankenhaus München-Harlaching, München, Deutschland.

出版信息

Anaesthesist. 2009 Jan;58(1):35-8. doi: 10.1007/s00101-008-1460-5.

DOI:10.1007/s00101-008-1460-5
PMID:18958433
Abstract

Ethylene glycol is an alcohol, which is mainly used as antifreeze. Intoxication with ethylene glycol can cause neurological and cardiopulmonary symptoms, metabolic acidosis and acute renal failure. Therapeutic options include reversal of metabolic acidosis, inhibition of alcohol dehydrogenase and early hemodialysis. In survivors of the acute phase, lasting damage is rare. The case of a 49-year-old patient with ethylene glycol intoxication is reported which was characterized by progressive impairment of consciousness, tetraparesis, hyperventilation and metabolic acidosis.

摘要

相似文献

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引用本文的文献

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Extracorporeal treatment for ethylene glycol poisoning: systematic review and recommendations from the EXTRIP workgroup.体外治疗乙二醇中毒：来自 EXTRIP 工作组的系统评价和建议。
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本文引用的文献

1
American Academy of Clinical Toxicology Practice Guidelines on the Treatment of Ethylene Glycol Poisoning. Ad Hoc Committee.美国临床毒理学学会乙二醇中毒治疗实践指南。特设委员会。
J Toxicol Clin Toxicol. 1999;37(5):537-60. doi: 10.1081/clt-100102445.
2
Survival of ethylene glycol poisoning with profound acidemia.乙二醇中毒伴严重酸血症的存活情况。
N Engl J Med. 1993 Feb 18;328(7):515-6. doi: 10.1056/NEJM199302183280717.
3
The other alcohols. Methanol, ethylene glycol, and isopropanol.其他醇类。甲醇、乙二醇和异丙醇。
Emerg Med Clin North Am. 1990 Nov;8(4):913-28.