Janssen S, van der Geest S, Meijer S, Uges D R
Medical Intensive Care Unit, University Hospital, Groningen, The Netherlands.
Intensive Care Med. 1988;14(3):238-40. doi: 10.1007/BF00717998.
After oral ingestion of 600 ml of refined petrol a 23-year-old male developed multiple organ failure. Acute renal insufficiency due to nephrotoxic tubular necrosis requiring hemodialysis was a major manifestation. Moreover, respiratory failure, seizures, hemolysis, disseminated intravascular coagulation, liver damage and erosions of mucous membranes occurred. The patient subsequently recovered completely. In spite of the poor absorption from the gastrointestinal tract and the high first-pass effect in the liver, massive petrol intoxication may lead to reversible multisystemic lesions.
一名23岁男性口服600毫升精炼汽油后出现多器官功能衰竭。主要表现为因肾毒性肾小管坏死导致的急性肾功能不全，需要进行血液透析。此外，还出现了呼吸衰竭、癫痫发作、溶血、弥散性血管内凝血、肝损伤和黏膜糜烂。该患者随后完全康复。尽管胃肠道吸收不良且肝脏存在较高的首过效应，但大量汽油中毒仍可能导致可逆的多系统病变。
