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因在十六醇溶液泳池清洁剂中摄入硫酸镧和氯化镧导致的代谢性酸中毒。

Metabolic acidosis due to ingestion of lanthanum sulfates and chlorides in cetyl alcohol solution pool cleaner.

作者信息

Ivaturi Kaushik, Ferrey Antoney J, Nguyen Lawrence, Tonthat Sam, Kohli Sanjivan, Torres Everado Arias, Kalantarzadeh Kamyar, Hanna Ramy

机构信息

Department of Medicine-Division of Nephrology University of California Irvine Orange CA USA.

Department of Medicine-Division of Critical Care and Pulmonary Medicine University of California Irvine Orange CA USA.

出版信息

Clin Case Rep. 2021 May 5;9(5):e04121. doi: 10.1002/ccr3.4121. eCollection 2021 May.

DOI:10.1002/ccr3.4121
PMID:34026161
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8123548/
Abstract

Cetyl Alcohol is a rare cause of acidosis if ingested in large quantities. Hyponatremia with overlapping anion gap and osmolal gap-positive metabolic acidosis may appear to have iso-osmolar serum. This is a case of an unusual toxic exposure.

摘要

大量摄入鲸蜡醇是酸中毒的罕见原因。伴有阴离子间隙和渗透压间隙重叠阳性代谢性酸中毒的低钠血症可能表现为血清等渗。这是一例不寻常的中毒暴露病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2260/8123548/fa93b657a592/CCR3-9-e04121-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2260/8123548/05c29d769cd4/CCR3-9-e04121-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2260/8123548/fa93b657a592/CCR3-9-e04121-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2260/8123548/05c29d769cd4/CCR3-9-e04121-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2260/8123548/fa93b657a592/CCR3-9-e04121-g001.jpg

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本文引用的文献

1
The Diagnosis and Management of Toxic Alcohol Poisoning in the Emergency Department: A Review Article.急诊科中毒性酒精中毒的诊断与处理：一篇综述文章
Adv J Emerg Med. 2019 May 22;3(3):e28. doi: 10.22114/ajem.v0i0.153. eCollection 2019 Summer.
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Alcohol metabolism and epigenetics changes.酒精代谢与表观遗传学变化
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Alcohol metabolism.酒精代谢。
Clin Liver Dis. 2012 Nov;16(4):667-85. doi: 10.1016/j.cld.2012.08.002.
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Acute renal injury following methanol poisoning: analysis of a case series.甲醇中毒后急性肾损伤：一组病例分析
Int J Toxicol. 2004 Jul-Aug;23(4):267-73. doi: 10.1080/10915810490506795.
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Dose-dependent suppression of toluene metabolism by isopropyl alcohol and methyl ethyl ketone after experimental exposure of rats.大鼠实验暴露后异丙醇和甲乙酮对甲苯代谢的剂量依赖性抑制作用
Toxicol Lett. 1995 Nov 15;81(2-3):229-34. doi: 10.1016/0378-4274(95)03445-5.
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Isopropyl alcohol metabolism after acute intoxication in humans.人体急性中毒后异丙醇的代谢
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7
Fatty alcohol metabolism in cultured human fibroblasts. Evidence for a fatty alcohol cycle.培养的人成纤维细胞中的脂肪醇代谢。脂肪醇循环的证据。
J Biol Chem. 1987 Dec 25;262(36):17412-9.