Tsuboi Chika, Naito Hiromichi, Hagioka Shingo, Hanafusa Hiroaki, Hirayama Takahiro, Kosaki Yoshinori, Iida Atsuyoshi, Yumoto Tetsuya, Tsukahara Kohei, Morimoto Naoki, Nakao Atsunori
Emergency Center and Critical Care Unit, Tsuyama Chuo Hospital, Tsuyama, Okayama 708-0841, Japan.
Acta Med Okayama. 2018 Apr;72(2):181-183. doi: 10.18926/AMO/55859.
The primary toxicity of hydrogen peroxide results from its interaction with catalase, which liberates water and oxygen. We report the case of a 14-year-old Japanese girl with portal venous gas that was caused by oxygen liberated from intentionally ingested hydrogen peroxide. Although she had a past history of atrial septal defect, recovery without cardiac or neurological sequelae was achieved using hyperbaric oxygen therapy. Emergency physicians must be aware of the danger of liberated oxygen due to hydrogen peroxide ingestion.
过氧化氢的主要毒性源于其与过氧化氢酶的相互作用,这种相互作用会释放出水和氧气。我们报告了一名14岁日本女孩的病例,其门静脉气体是由故意摄入的过氧化氢释放的氧气所致。尽管她有房间隔缺损病史,但通过高压氧治疗实现了康复,且未留下心脏或神经方面的后遗症。急诊医生必须意识到因摄入过氧化氢而释放氧气的危险性。