Chao Li-Keng, Fang Te-Chao
Department of Internal Medicine, Buddhist Tzu Chi General Hospital, Hualien, Taiwan.
Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Tzu Chi Med J. 2016 Oct-Dec;28(4):166-169. doi: 10.1016/j.tcmj.2015.05.005. Epub 2015 Jul 2.
A 30-year-old woman was sent to the emergency room after alcohol and paraquat ingestion. After three sessions of hemoperfusion via the indwelling double-lumen catheter, the patient could tolerate ambient air and her urine output was good. However, on the 10 day of hospitalization, she had a sudden onset of dyspnea and hypoxia. Pulmonary embolism was diagnosed by a computed tomography pulmonary angiogram. The patient recovered after anticoagulation therapy. We could find no reports of dyspnea caused by pulmonary embolism in patients with paraquat intoxication. Here, we present this rare case; the indwelling double-lumen catheter might have been a cause of the pulmonary embolism.
一名30岁女性在摄入酒精和百草枯后被送往急诊室。通过留置双腔导管进行三次血液灌流后，患者能够耐受室内空气，尿量良好。然而，在住院第10天，她突然出现呼吸困难和低氧血症。通过计算机断层扫描肺动脉造影诊断为肺栓塞。患者经抗凝治疗后康复。我们未发现有关百草枯中毒患者发生肺栓塞导致呼吸困难的报道。在此，我们呈现这一罕见病例；留置双腔导管可能是肺栓塞的一个原因。
