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[二氯甲烷吸入后伴肝损害的急性肾衰竭]

[Acute renal failure with hepatic involvement after methylene chloride inhalation].

作者信息

Horovitz M, Zecler E

机构信息

Dept. of Medicine C, Assaf Harofeh Medical Center, Zerifin.

出版信息

Harefuah. 1995 Jan 15;128(2):91-2, 127.

PMID:7721184
Abstract

A 29-year-old man working in a closed room was exposed to methylene chloride. 2 days later he developed acute renal failure and hepato-cellular damage. Despite the fact that methylene chloride is usually considered nontoxic, fatal cases have been described. It should be stressed that a good history, especially in those who work with materials of low toxicity, can explain complex clinical pictures, allowing proper treatment to be started. Our patient was treated by hemodialysis and recovered completely without residual hepatic damage.

摘要

一名在封闭房间工作的29岁男子接触了二氯甲烷。两天后,他出现了急性肾衰竭和肝细胞损伤。尽管二氯甲烷通常被认为无毒,但已有致命病例的报道。应该强调的是,详细的病史,尤其是对于那些接触低毒性物质的人,能够解释复杂的临床症状,从而可以开始进行适当的治疗。我们的患者接受了血液透析治疗,完全康复,没有留下肝脏损伤。

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