Gómez Perera S, Rodríguez Talavera I, Tapia Quijada H E, Guerrero-Mártir M, Díaz de Aguilar Osona M, Falcón Roca R
Graduado en Medicina, Servicio de Oftalmología, Hospital Universitario de Canarias, Tenerife, España.
Graduado en Medicina, Servicio de Oftalmología, Hospital Universitario de Canarias, Tenerife, España.
Arch Soc Esp Oftalmol (Engl Ed). 2020 May;95(5):231-235. doi: 10.1016/j.oftal.2020.02.004. Epub 2020 Mar 18.
Methanol poisoning is often described in the literature, but not transdermal or inhalational poisoning. It usually involves variable multi-organ damage, among which visual, neurological, and gastrointestinal involvement, as well as the metabolic and electrolyte changes that can lead to death. Contact with toluene by occupational or intentional inhalation may also cause neurological abnormalities. This article describes the case of a female patient who was seen in the Emergency Department due to bilateral visual loss secondary to accidental poisoning (inhalation-transdermal) with a solvent containing methanol and toluene. She had a favourable outcome during admission after treatment with ethanol in perfusion and corticosteroids.
甲醇中毒在文献中常有描述,但经皮或吸入性中毒的情况则未见报道。甲醇中毒通常会导致多器官不同程度的损害,其中包括视觉、神经和胃肠道方面的问题,以及可能导致死亡的代谢和电解质变化。职业性接触或故意吸入甲苯也可能导致神经功能异常。本文介绍了一名女性患者的病例,该患者因意外吸入含甲醇和甲苯的溶剂导致双侧视力丧失而被送往急诊科。经乙醇灌注和皮质类固醇治疗后,她在住院期间预后良好。