Wilson M E, Guru P K, Park J G
Department of Internal Medicine, Division of Pulmonary and Critical Care, Mayo Clinic, Rochester, MN, USA.
Indian J Nephrol. 2015 Jan-Feb;25(1):57-9. doi: 10.4103/0971-4065.135351.
Due to their ability to decrease the spread of infection, hand sanitizers are now ubiquitous in health care settings. We present the case of a 50-year-old woman who was admitted with acute alcohol intoxication and had near complete recovery in 12 hrs. Subsequently, she was found unresponsive on the floor of her hospital room on two separate occasions. Evaluations revealed repeatedly elevated levels of ethanol, acetone, and lactate as well as increased anion gap and hypotension, requiring intensive care unit evaluation and intubation for airway protection. During the second episode, she was found next to an empty bottle of ethanol-based hospital hand sanitizer. She confirmed ingesting hand sanitizer in order to become intoxicated.
由于能够减少感染传播，洗手液如今在医疗环境中随处可见。我们报告一例50岁女性病例，该患者因急性酒精中毒入院，12小时内几乎完全康复。随后，她在医院病房的地板上被发现失去反应，且出现过两次这种情况。检查发现其乙醇、丙酮和乳酸水平反复升高，阴离子间隙增加，血压降低，需要重症监护病房评估并进行插管以保护气道。在第二次发作期间，她被发现在一瓶空的医院用乙醇基洗手液旁边。她承认摄入洗手液以达到醉酒状态。
