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与滴露中毒相关的严重并发症。

Serious complications associated with Dettol poisoning.

作者信息

Chan T Y, Lau M S, Critchley J A

机构信息

Department of Clinical Pharmacology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T.

出版信息

Q J Med. 1993 Nov;86(11):735-8.

PMID:8265774
Abstract

Dettol is involved in 10% of self-poisoning-related hospital admissions in Hong Kong. Although serious poisonings and even deaths after ingesting this common household disinfectant have been reported, the frequency with which these complications may occur is not known. In a retrospective study of 67 cases of Dettol poisoning, we found that serious complications were relatively common (8%) and these included aspiration of Dettol with gastric contents resulting in pneumonia, cardiopulmonary arrest, bronchospasm, adult respiratory distress syndrome, and severe laryngeal oedema with upper airways obstruction. It is particularly important that the airways are adequately protected before the patient is lavaged following Dettol poisoning, and the immediate recognition of any upper airway obstruction requiring intubation will then be life-saving.

摘要

在香港,10%与自我中毒相关的住院病例涉及滴露。尽管已有摄入这种常见家用消毒剂后发生严重中毒甚至死亡的报告,但这些并发症可能发生的频率尚不清楚。在一项对67例滴露中毒病例的回顾性研究中,我们发现严重并发症相对常见(8%),这些并发症包括滴露与胃内容物一同吸入导致肺炎、心肺骤停、支气管痉挛、成人呼吸窘迫综合征以及伴有上呼吸道梗阻的严重喉部水肿。特别重要的是,在滴露中毒患者洗胃前要充分保护气道,然后立即识别任何需要插管的上呼吸道梗阻情况将挽救生命。

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