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腐蚀性物质导致异常后果及并发症的自杀未遂案例

Suicide Attempt by a Corrosive Agent Causing Unusual Outcomes and Complications.

作者信息

Breier Yuli, Kushmakov Robert, Banks Wesley D, Guan Bo, Langan Danielle

机构信息

Emergency Department, Touro College of Osteopathic Medicine, New York, USA.

Emergency Department, Staten Island University Hospital, Northwell Health, Staten Island, USA.

出版信息

Cureus. 2023 Aug 2;15(8):e42861. doi: 10.7759/cureus.42861. eCollection 2023 Aug.

DOI:10.7759/cureus.42861
PMID:37664338
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10473548/
Abstract

We commonly encounter patients in the emergency department who present after a suicide attempt. The methods can vary and present unique challenges depending on the nature of the attempt. We present an unsuccessful attempt via chemical ingestion that led to severe complications involving the ingestion of drain cleaner with both highly corrosive and caustic properties. The management and presentation are discussed in great detail to further investigate the best treatment plan for both acute and chronic complications.

摘要

我们在急诊科经常会遇到自杀未遂后前来就诊的患者。自杀方式各不相同,根据自杀未遂的性质会带来独特的挑战。我们介绍一例通过化学物质摄入导致的自杀未遂案例,该患者摄入了具有高腐蚀性和苛性的下水道清洁剂,引发了严重并发症。本文详细讨论了该病例的处理过程和临床表现,以进一步探究针对急性和慢性并发症的最佳治疗方案。

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1
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Ingestion of caustic substances: a 15-year experience.腐蚀性物质的摄入:15年经验总结
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本文引用的文献

1
Evaluation of a Diagnostic and Management Algorithm for Adult Caustic Ingestion: New Concept of Severity Stratification and Patient Categorization.成人腐蚀性物质摄入诊断与管理算法的评估:严重程度分层和患者分类的新概念
J Pers Med. 2022 Jun 17;12(6):989. doi: 10.3390/jpm12060989.
2
Treatment of Esophageal Stricture After Lye Ingestion.碱液摄入后食管狭窄的治疗
ACG Case Rep J. 2020 Apr 7;7(4):e00348. doi: 10.14309/crj.0000000000000348. eCollection 2020 Apr.
3
Ingestion of Caustic Substances.腐蚀性物质的摄入。
N Engl J Med. 2020 Apr 30;382(18):1739-1748. doi: 10.1056/NEJMra1810769.
4
Corrosive substances ingestion: a review.腐蚀性物质摄入:综述。
Crit Rev Toxicol. 2019 Sep;49(8):637-669. doi: 10.1080/10408444.2019.1707773.
5
Role of endoscopy in caustic injury of the esophagus.内镜检查在食管腐蚀性损伤中的作用。
World J Gastrointest Endosc. 2018 Oct 16;10(10):274-282. doi: 10.4253/wjge.v10.i10.274.
6
Epidemiology of Suicide and the Psychiatric Perspective.自杀的流行病学和精神科视角。
Int J Environ Res Public Health. 2018 Jul 6;15(7):1425. doi: 10.3390/ijerph15071425.
7
Role of early endoscopic evaluation in decreasing morbidity, mortality, and cost after caustic ingestion: a retrospective nationwide database analysis.早期内镜评估在降低腐蚀性物质摄入后发病率、死亡率及成本方面的作用:一项全国性回顾性数据库分析
Dis Esophagus. 2017 Jun 1;30(6):1-11. doi: 10.1093/dote/dox010.
8
Evaluation and management of caustic injuries from ingestion of Acid or alkaline substances.摄入酸性或碱性物质所致腐蚀性损伤的评估与处理
Clin Endosc. 2014 Jul;47(4):301-7. doi: 10.5946/ce.2014.47.4.301. Epub 2014 Jul 28.
9
Corrosive induced carcinoma of esophagus after 58 years.食管腐蚀性溃疡癌变 58 年后。
Ann Thorac Surg. 2012 Dec;94(6):2103-5. doi: 10.1016/j.athoracsur.2012.03.110.
10
Update on the diagnosis and treatment of caustic ingestion.腐蚀性物质摄入的诊断与治疗进展
Ochsner J. 2009 Summer;9(2):54-9.