Tashev T, Donev Sht
Vutr Boles. 1987;26(1):107-9.
A case is described of a 15 years old girl, taken about 40 tablets of retizid, attempting suicide. Pain in epigastrium and elevated temperature occurred on the second day and ESR quickly reached 50/70 mm. Numerous petechial and not complete erosions were established by fiber gastroscopy as well as ulcers all over the stomach with a bigger circulating in the region of antrum-pylorus. The 30-day treatment at the hospital covering a special diet, infusions of glucose with insulin, alvesin, cerucal and ampicillin during the first 10 days and alcid V throughout the treatment, rapidly eliminated the alterations, normalization of ESR and discharge of the patient as healthy on 38th day after the intoxication. The control examination 6 months later gave no pathological changes. It has been concluded that in those cases, changes in the stomach must be searched most actively, best gastroscopically, that should be treated at a hospital and the patients to be subjected to a follow-up care in the gastroenterological consulting rooms for at least 6 months.
描述了一例15岁女孩服用约40片雷替曲塞企图自杀的病例。第二天出现上腹部疼痛和体温升高，血沉迅速升至50/70mm。纤维胃镜检查发现大量瘀点及不完全糜烂，胃内布满溃疡，胃窦-幽门区有较大的溃疡灶。在医院进行了30天的治疗，包括特殊饮食，最初10天输注葡萄糖加胰岛素、阿维菌素、西卢卡尔和氨苄西林，整个治疗过程中使用阿尔西德V，迅速消除了病变，血沉恢复正常，患者在中毒后第38天健康出院。6个月后的对照检查未发现病理变化。得出的结论是，在这些病例中，必须最积极地检查胃部变化，最好通过胃镜检查，应在医院进行治疗，患者应在胃肠病咨询室接受至少6个月的随访护理。
