Emergency Department, Christchurch Hospital, Christchurch, New Zealand.
Emerg Med Australas. 2012 Aug;24(4):451-3. doi: 10.1111/j.1742-6723.2012.01552.x.
Methanol poisoning has become very uncommon in Australasia with regulations that have reduced its retail availability. This report describes a young tourist who developed sudden onset visual failure and rapid breathing 2 days after ingestion of a complimentary local drink called Arrack when travelling in Indonesia. She presented to a hospital in New Zealand with severe metabolic acidosis and a highly toxic methanol level at 17 mmol/L. The cocktail was consumed at a popular tourist bar but is likely to have been mixed from home-brewed or 'moonshine' alcohol tainted with methanol. The aetiology of methanol poisoning, its optic toxicology and therapeutic measures are discussed, as is the concerning number of methanol poisoning cases among tourists to Indonesia over recent years.
甲醇中毒在澳大拉西亚已经非常少见，这要归功于相关法规降低了其零售供应。本报告描述了一位年轻游客在印度尼西亚旅行时，饮用了当地一种名为亚力酒的免费饮料后，在 2 天内突然出现视力丧失和呼吸急促的症状。她在新西兰的一家医院就诊，检查发现严重代谢性酸中毒和甲醇水平高达 17mmol/L。这种鸡尾酒在一家受欢迎的旅游酒吧供应，但很可能是由自制或“私酿”酒精混合而成，其中含有甲醇。本文讨论了甲醇中毒的病因、视神经毒性和治疗措施，以及近年来到印度尼西亚旅游的游客甲醇中毒病例数量之多令人担忧。
