Dornbush Carine, Mohr William, Galet Colette, Wibbenmeyer Lucy, Kurjatko Alexander
Department of Surgery, Division of Acute Care Surgery University of Iowa Iowa City Iowa USA.
Clin Case Rep. 2025 Jan 20;13(1):e70141. doi: 10.1002/ccr3.70141. eCollection 2025 Jan.
Cutaneous absorption of methylene chloride is rarely toxic. This case shows that it can lead to carboxyhemoglobinemia. Exposure to methylene chloride should warrant a carboxyhemoglobin check and oxygen support. Adequate decontamination and monitoring for symptoms in patients with greater cutaneous exposure due to persistent risks for toxicity are warranted.
二氯甲烷的皮肤吸收很少产生毒性。本病例表明它可导致碳氧血红蛋白血症。接触二氯甲烷应进行碳氧血红蛋白检查并给予氧气支持。对于因持续存在毒性风险而有较大皮肤接触的患者,应进行充分的去污处理并监测症状。