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静脉注射家用漂白剂后,输注N-乙酰半胱氨酸预防肝毒性

N-acetylcysteine infusion in preventing hepatotoxicity secondary to intravenous injection of household bleach.

作者信息

Eidan Anthony H, Sira James, Bellamy Mark

机构信息

Intensive Care Unit, St. James's University Hospital, Leeds, UK.

出版信息

J Intensive Care Soc. 2015 Aug;16(3):265-268. doi: 10.1177/1751143715576287. Epub 2015 Mar 18.

Abstract

We present a case of non-accidental injection of 40 ml of domestic bleach through a long-term central venous catheter (CVC) with subsequent AKI, and for the first time in the literature severe coagulopathy and acute liver injury. We detail the clinical course of events and our management plan which adds to the body of evidence for prognosis and treatment in these unusual cases.

摘要

我们报告一例通过长期中心静脉导管(CVC)非意外注入40毫升家用漂白剂的病例,随后出现急性肾损伤,并且在文献中首次出现严重凝血障碍和急性肝损伤。我们详细描述了事件的临床过程以及我们的管理计划,这为这些罕见病例的预后和治疗增添了证据。

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本文引用的文献

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Sodium hypochlorite-induced acute kidney injury.
Saudi J Kidney Dis Transpl. 2014 Mar;25(2):381-4. doi: 10.4103/1319-2442.128553.
5
6
Management of paracetamol poisoning.对乙酰氨基酚中毒的处理
BMJ. 2011 Apr 19;342:d2218. doi: 10.1136/bmj.d2218.
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Accidental injection with sodium hypochlorite: report of a case.次氯酸钠意外注射:一例报告
Int Endod J. 2009 Feb;42(2):175-82. doi: 10.1111/j.1365-2591.2008.01493.x.

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