Rao M S, Singhal P C, Bapna B C, Vaidyanathan S, Chugh K S, Bhat V N, Dutta T K, Gupta C L
Urology. 1978 Jun;11(6):588-90. doi: 10.1016/0090-4295(78)90008-0.
Fatal acute tubular necrosis occurred in 1 patient in whom intravesical formalin was used to control massive persistent hemorrhage from radiation cystitis. A suggestion is made to monitor blood formic acid levels and institute prompt dialysis whenever these exceed 80 mg. per 100 ml. to avert such a catastrophe. Intravenous sodium bicarbonate appears to be indicated prophylactically in combating the associated metabolic acidosis due to absorbed formic acid.
1例患者因使用膀胱内灌注福尔马林控制放射性膀胱炎所致的大量持续性出血而发生致命性急性肾小管坏死。建议监测血液中甲酸水平，一旦超过每100毫升80毫克，应立即进行透析，以避免此类灾难。静脉注射碳酸氢钠似乎可作为预防措施，用于对抗因吸收甲酸而导致的相关代谢性酸中毒。
