Robey Thomas E, Melnick Edward R
Department of Emergency Medicine, Yale University, 464 Congress Avenue, Steuite 260, New Haven, CT 06519-1315, USA.
Case Rep Emerg Med. 2012;2012:162387. doi: 10.1155/2012/162387. Epub 2012 Jun 28.
Altered mental status is a common undifferentiated presentation in the emergency department. We describe a case of acetaminophen-induced acute liver failure that was diagnosed and treated prior to obtaining definitive historical or laboratory information about the etiology. The physical exam finding of scleral icterus in this case was a key element to rapid identification and treatment of this life-threatening condition. A discussion of appropriate N-acetylcysteine treatment for acute liver failure and acetaminophen intoxication is included.
意识状态改变是急诊科常见的未分化表现。我们描述了一例对乙酰氨基酚所致急性肝衰竭的病例，该病例在获取有关病因的确切病史或实验室信息之前就得到了诊断和治疗。该病例中巩膜黄疸的体格检查发现是快速识别和治疗这种危及生命状况的关键因素。本文还讨论了急性肝衰竭和对乙酰氨基酚中毒的适当N - 乙酰半胱氨酸治疗方法。
