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摄入食品级过氧化氢导致胃肠道和神经系统症状,采用高压氧治疗:病例报告并重点介绍 HBO2 在血管气体栓塞中的治疗价值。

Ingestion of food grade hydrogen peroxide with resultant gastrointestinal and neurologic symptoms treated with hyperbaric oxygen therapy: case report and review with emphasis on the therapeutic value of HBO2 in vascular gas embolism.

机构信息

Department of Internal Medicine, Orange Regional Medical Center Middletown, New York U.S.

Department of Internal Medicine, Kettering Medical Center, Kettering, Ohio U.S.

出版信息

Undersea Hyperb Med. 2021 Second Quarter;48(2):177-186. doi: 10.22462/03.04.2021.9.

Abstract

A 52-year-old male accidentally ingested approximately 100 mL of 35% hydrogen peroxide (H2O2), resulting in the sudden onset of gastrointestinal and neurologic symptoms. Non-contrast abdominal CT revealed extensive portal venous gas and gastric pneumatosis. The patient was treated with hyperbaric oxygen therapy which resulted in complete resolution of symptoms. The case highlights the therapeutic value of hyperbaric oxygen therapy in the treatment of vascular gas embolism and mitigation of concentrated H2O2 ingestion toxicity.

摘要

一位 52 岁男性不慎误服约 100 毫升 35%过氧化氢(H2O2),导致突发胃肠道和神经系统症状。腹部 CT 平扫未见明显异常。非对比增强腹部 CT 显示广泛的门静脉积气和胃积气。患者接受高压氧治疗后症状完全缓解。该病例强调了高压氧治疗在治疗血管性气体栓塞和减轻高浓度 H2O2 摄入毒性方面的治疗价值。

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