Ikiz Mehmet Alper, Yakut Halil Ibrahim, Kurt Funda, Sahin Sanliay, Yalçin Haci Nadir, Baştemur Mehmet, Kalkan Gökhan
Ankara Child Diseases, Hematology and Oncology Training Hospital, Ankara, Turkey.
Pediatr Emerg Care. 2013 Apr;29(4):502-3. doi: 10.1097/PEC.0b013e31828a387b.
Hydrogen peroxide solutions are often used in daily life as a household disinfectant and in cosmetic products and are therefore a common source of intentional poisonings, especially for children. When ingested in small amounts, it may cause severe central nervous system damage as a result of arterial emboli like our case. The benefit of hyperbaric oxygen treatment in this situation is known, but the neurologic deficits of our case did not improve with this method and finally brain death occurred. This is may be related by the timing of treatment after the event. We would like to emphasize that every clinician must be aware of the dangers of hydrogen peroxide ingestion and hyperbaric oxygen treatment may be of benefit if it is performed immediately.
过氧化氢溶液在日常生活中常被用作家用消毒剂和化妆品成分,因此是故意中毒的常见来源,尤其是对儿童而言。少量摄入时,它可能像我们的病例一样,由于动脉栓塞导致严重的中枢神经系统损伤。高压氧治疗在这种情况下的益处是已知的,但我们病例的神经功能缺损并未通过这种方法得到改善,最终发生了脑死亡。这可能与事件发生后治疗的时机有关。我们想强调的是,每位临床医生都必须意识到摄入过氧化氢的危险性,如果立即进行高压氧治疗可能会有益处。