Ponaganti Mythily Rao, Tudi Pavan
Internal Medicine, KIMS (Krishna Institute of Medical Sciences) Sunshine Superspeciality Hospital, Hyderabad, IND.
Cureus. 2024 Aug 30;16(8):e68254. doi: 10.7759/cureus.68254. eCollection 2024 Aug.
Acute cyanide toxicity is very rare but it is almost always associated with fatal outcomes. Here we describe the case of a 43-year-old healthy male who worked in a jewelry factory and presented with acute cyanide toxicity. He was successfully managed with all the supportive measures and an appropriate antidote kit containing amyl nitrite, sodium nitrite, and sodium thiosulfate. We also describe the relevant importance of knowing the history of easy access to cyanide as a part of the patient's profession, the critical nature of the patient at presentation, as well as the efforts needed to procure the antidote.
急性氰化物中毒非常罕见，但几乎总是与致命后果相关。在此，我们描述一名43岁健康男性的病例，他在一家珠宝厂工作，出现了急性氰化物中毒。通过所有支持措施以及包含亚硝酸异戊酯、亚硝酸钠和硫代硫酸钠的适当解毒剂套件，他得到了成功救治。我们还描述了了解患者职业中容易接触氰化物的病史的相关重要性、患者就诊时的危急状况以及获取解毒剂所需的努力。
