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一例甲醇中毒导致长期依赖呼吸机,进而失明和不可逆脑损伤的病例。

A case of methanol poisoning leading to prolonged respirator dependency with consequent blindness and irreversible brain damage.

作者信息

Manuchehri Ali Asghar, Alijanpour Ebrahim, Daghmechi Mohsen, Ghaeminan Naser, Abedi Seyed Hasan, Nikbakhsh Novin, Ghazi Mir Saeed Seyed Ali Mohammad, Amani Neda

机构信息

Department of Internal Medicine, Babol University of Medical Sciences, Babol, Iran.

Department of Anesthesiology, Babol University of Medical Sciences, Babol, Iran.

出版信息

Caspian J Intern Med. 2015 Summer;6(3):180-3.

Abstract

BACKGROUND

Methanol is a colorless and poisonous liquid that is commonly used as an industrial and household solvent. Methanol poisoning is a rare but extremely hazardous form of in toxication that affects the central nervous system and causes visual disorder, drowsiness, seizures and coma.

CASE PRESENTATION

A 29-years-old man with methanol intoxication presented with drowsiness and acidosis with subsequent brain hemorrhage requiring prolong mechanical ventilation resulted in persistent visual impairment and disequilibrium.

CONCLUSION

Prolonged mechanical ventilation in patients with methanol intoxication may be assouated with irreversible brain damage.

摘要

背景

甲醇是一种无色有毒液体,常用作工业和家用溶剂。甲醇中毒是一种罕见但极其危险的中毒形式,会影响中枢神经系统,导致视力障碍、嗜睡、癫痫发作和昏迷。

病例介绍

一名29岁甲醇中毒男性患者出现嗜睡和酸中毒,随后发生脑出血,需要长时间机械通气,导致持续视力损害和平衡失调。

结论

甲醇中毒患者长时间机械通气可能与不可逆脑损伤有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/663e/4650797/723cf7dc27fd/cjim-6-180-g001.jpg

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