Death from caustic ingestion:A case report
作者机构：Department of Emergency MedicineSengkang General HospitalSingapore
出 版 物：《Journal of Acute Disease》 (急性病杂志（英文版）)
年 卷 期：2024年第13卷第2期
页 面：81-84页
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题：Phosphoric acid poisoning Caustic ingestion Acid ingestion Cleaner ingestion Corrosive ingestion
摘 要：Rationale:Acute caustic ingestion from suicidal intent is not usual in emergency departments in developed *** of the substances commonly ingested by suicidal patients,phosphoric acid,tends to cause multi-system ***’s Concern:A 41-year-old male patient presented with complaints of throat discomfort,severe generalized abdominal pain,and multiple episodes of hematemesis after ingesting a restroom cleaning ***:Poisoning by acute caustic ingestion(containing30%phosphoric acid and4%ethylene glycol).Interventions:The patient was administered 50 mL of 8.4%sodium bicarbonate solution followed by an isotonic sodium bicarbonate solution running at 500 mL/h,a hyperkalemia kit,ceftriaxone,metronidazole,omeprazole,and *** patient then underwent urgent ***:The patient suffered gastrointestinal bleeding as a result of local caustic *** addition,his course of illness was complicated by severe acidemia from high anion gap metabolic acidosis and deranged electrolytes(hyperphosphatemia,hyperkalemia,and hypocalcemia).He developed multi-organ failure and eventually ***:The clinician needs to be mindful of the multi-system complications arising from such a caustic *** patients need to be monitored closely for deterioration,and have prompt management of the various arising complications,to reduce the high morbidity and mortality associated with this condition.
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