Doğan Erdal, Güzel Abdulmenap, Ciftçi Taner, Aycan Ilker, Celik Feyzi, Cetin Bedri, Kavak Gönül Ölmez
Department of Anesthesiology and Reanimation, Dicle University Medical School, 21280 Diyarbakir, Turkey.
Case Rep Crit Care. 2014;2014:589712. doi: 10.1155/2014/589712. Epub 2014 Jun 30.
Zinc phosphide has been used widely as a rodenticide. Upon ingestion, it gets converted to phosphine gas in the body, which is subsequently absorbed into the bloodstream through the stomach and the intestines and gets captured by the liver and the lungs. Phosphine gas produces various metabolic and nonmetabolic toxic effects. Clinical symptoms are circulatory collapse, hypotension, shock symptoms, myocarditis, pericarditis, acute pulmonary edema, and congestive heart failure. In this case presentation, we aim to present the intensive care process and treatment resistance of a patient who ingested zinc phosphide for suicide purposes.
磷化锌已被广泛用作灭鼠剂。摄入后,它在体内会转化为磷化氢气体,随后通过胃和肠道被吸收进血液,并被肝脏和肺部捕获。磷化氢气体产生各种代谢性和非代谢性毒性作用。临床症状包括循环衰竭、低血压、休克症状、心肌炎、心包炎、急性肺水肿和充血性心力衰竭。在本病例报告中,我们旨在呈现一名因自杀而摄入磷化锌患者的重症监护过程及治疗抵抗情况。