Fromm R E
Department of Emergency Services, Methodist Hospital, Houston, Texas 77030.
Ann Emerg Med. 1991 Jun;20(6):669-71. doi: 10.1016/s0196-0644(05)82392-3.
A 28-year-old man presented with lethargy, solmulence, and polyuria following near-drowning in a vessel of an offshore oil rig. Laboratory evaluation demonstrated severe hypercalcemia that responded to saline diuresis and nasogastric suctioning. Calcium salts are used frequently in the drilling and completion of oil wells, and it is presumed that this patient's hypercalcemia represented acute intoxication from swallowed and aspirated fluid. This case highlights the need to consider the potential constituents of the drowning fluid in victims of near-drowning, particularly if unexplained clinical phenomena are evident.
一名28岁男性在近海石油钻井平台的一个容器中近乎溺亡后，出现嗜睡、谵妄和多尿症状。实验室检查显示严重高钙血症，经生理盐水利尿和鼻胃管抽吸后有所缓解。钙盐常用于油井的钻探和完井过程，据推测该患者的高钙血症是由于吞咽和吸入液体导致的急性中毒。该病例凸显了在近乎溺亡的受害者中，需要考虑溺亡液体的潜在成分，尤其是在出现无法解释的临床现象时。
