血液滤过联合血液灌流救治乙酸丁酯中毒一例
Chinese Journal of Emergency Medicine(2013)
Abstract
患者男性,54岁,因饮酒后误服乙酸丁酯200 ml 3 h,意识不清伴喘息2.5h于2012年3月26日入深圳市人民医院.既往健康.入院查体:T36.7℃,P 138次/min,R24次/min,BP 139/77 mm Hg(1 mm Hg =0.133 kPa).深昏迷,对光反射迟钝.双肺呼吸音粗,可闻及散在湿啰音.心率138次/min,节律规整,腹软,双侧病理反射未引出.血气分析:pH 7.08,PO222 mm Hg,PCO2 91 mm Hg,HCO3-27 mmol/L.Lac 2.8mmol/L.血常规:WBC 10.07×109 L-1,NEUT% 70.74%.
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