Arslan Engin Deniz, Demir Ali, Yilmaz Fevzi, Kavalci Cemil, Karakilic Evvah, Çelikel Elif
Emergency Department, Ankara Numune Training and Research Hospital, Samanpazarı, Ankara, Turkey.
Keio J Med. 2013;62(2):53-7. doi: 10.2302/kjm.2012-0010-cr. Epub 2013 May 27.
We report the case of a 29-year-old woman who attempted suicide by oral ingestion of potentially fatal doses of multiple drugs including quetiapine. Intravenous lipid emulsion (ILE) was administered at a dose higher than that used in the standard management of toxicity. Rapid improvement was observed in the patient's status, and no additional treatment was required during the period of observation. No adverse effect of lipid administration was observed. ILE treatment seems to have great potential in the management of lipophilic drug toxicity in the future.
我们报告了一例29岁女性的病例,该患者口服了包括喹硫平在内的多种可能致命剂量的药物企图自杀。静脉输注脂质乳剂(ILE)的剂量高于中毒标准处理中使用的剂量。患者状况迅速改善,在观察期间无需额外治疗。未观察到脂质给药的不良反应。ILE治疗在未来亲脂性药物中毒的处理中似乎具有巨大潜力。