Doughmi Djoudline, Bennis Lamiae, Berrada Aicha, Derkaoui Ali, Shimi Abdelkrim, Khatouf Mohammed
Department of Anesthesiology and Intensive Care A1, Hassan II Academic Hospital, Fez, Morocco.
Case Rep Crit Care. 2019 Aug 20;2019:6756352. doi: 10.1155/2019/6756352. eCollection 2019.
Cresol is a phenol derivative used as a disinfectant that may cause gastrointestinal corrosive injury, central nervous system, cardiovascular disturbances, renal, and hepatic injury following intoxication. We present a case of a female patient who was admitted to the emergency department after ingesting an unknown amount of cresol; she was admitted with tachypnea, shortness of breath with low oxygen level in the blood. She did not develop hepatic or renal dysfunction. The gastrointestinal endoscopy was performed and showed esophagus and gastric erosins only. The patient was sedated and ventilated for 7 days. After receiving supportive intensive care, the patient recovered and was sent for psychiatric evaluation. Cresol intoxication can be fatal, and cause a respiratory failure with an acute respiratory distress syndrome (ARDS), hepatic, and renal injury. This shows the importance of intensive care in the management of cresol poisoning.
甲酚是一种用作消毒剂的酚类衍生物，中毒后可能导致胃肠道腐蚀性损伤、中枢神经系统、心血管紊乱、肾脏和肝脏损伤。我们报告一例女性患者，摄入未知量甲酚后被送往急诊科；她入院时呼吸急促，伴有呼吸急促和血液中氧含量低。她没有出现肝或肾功能障碍。进行了胃肠内镜检查，仅显示食管和胃糜烂。患者接受了7天的镇静和通气治疗。在接受支持性重症监护后，患者康复并被送去进行精神评估。甲酚中毒可能致命，并导致呼吸衰竭伴急性呼吸窘迫综合征（ARDS）、肝脏和肾脏损伤。这表明了重症监护在甲酚中毒管理中的重要性。
