Bashardoust Bahman, Farzaneh Esmaeil, Habibzadeh Afshin, Seyyed Sadeghi Mir Salim
Department of Internal Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
Iran J Kidney Dis. 2017 Mar;11(2):165-167.
Aluminum phosphide poisoning is common in our region. It can cause severe metabolic acidosis and persistent hypotension, which lead to cardiogenic shock and subsequently mortality. Oliguric or anuric acute kidney injury is seen in almost all patients with aluminum phosphide poisoning. Renal replacement therapies are recommended in these patients to improve metabolic acidosis and increase the rate of survival. We report 2 cases of severe acute aluminum phosphide poisoning treated successfully with peritoneal dialysis.
磷化铝中毒在我们地区很常见。它可导致严重的代谢性酸中毒和持续性低血压，进而引发心源性休克并最终导致死亡。几乎所有磷化铝中毒患者都会出现少尿或无尿的急性肾损伤。建议对这些患者进行肾脏替代治疗，以改善代谢性酸中毒并提高生存率。我们报告2例严重急性磷化铝中毒患者通过腹膜透析成功治愈的病例。
