E. P. Küllüoğlu, Doğa Lüleyap, Alper Çiçek, A. Anıl, Ç. Konca, E. Berksoy, G. Gökalp, Ayşenur Özel Doğruöz, D. Alaygut
{"title":"口服氢氟酸严重中毒1例,经及时有效治疗可存活","authors":"E. P. Küllüoğlu, Doğa Lüleyap, Alper Çiçek, A. Anıl, Ç. Konca, E. Berksoy, G. Gökalp, Ayşenur Özel Doğruöz, D. Alaygut","doi":"10.4274/buchd.galenos.2022.38159","DOIUrl":null,"url":null,"abstract":"ventriküler disritmilere yol açabilir. On üç aylık erkek hasta, bilinmeyen miktarda HFA içeren markasız pas sökücü içtikten sonra hastaneye kaldırıldı. Hastaneye kabulünün ardından hasta çocuk acil servisinde ventriküler fibrilasyon ile ani kalp durması yaşadı. Kardiyopulmoner resüsitasyon ve defibrilasyon yapıldı. Ardından çocuk ünitesinde 12 saat veno-venöz hemodiyafiltrasyon (CVVHDF) uygulandı ve şifa ile taburcu edildi. Bildiğimiz literatürde Anahtar kelimeler: Hemodiyafiltrasyon, hidroflorik asit, çocuk acil servis, çocuk yoğun bakım, zehirlenme, ventriküler fibrilasyon ABSTRACT Hydrofluoric acid (HFA) is one of the most corrosive inorganic acids. Systemic toxicity usually occurs after ingestion or inhalation. It can lead to hypocalcemia, hypomagnesemia, hypokalaemia, acidosis, and ventricular dysrhythmias. A 13-month-old male patient was hospitalized after drinking an unknown amount of unbranded rust remover that contained HFA. Following his admission to the hospital, the patient suffered a sudden cardiac arrest with ventricular fibrillation in the pediatric emergency department. Cardiopulmonary resuscitation and defibrillation were carried out. Subsequently, continuous veno-venous hemodiafiltration (CVVHDF) was applied for twelve hours in the pediatric intensive care unit and he was discharged with a recovery. To the best of our knowledge, this case is the first pediatric case in the literature to survive after oral exposure and to receive successful CVVHDF.","PeriodicalId":356595,"journal":{"name":"Journal of Dr Behcet Uz Children s Hospital","volume":"33 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Case of Severe Poisoning due to Oral Hydrofluoric Acid Ingestion that Could Survive with Timely Effective Treatments\",\"authors\":\"E. P. Küllüoğlu, Doğa Lüleyap, Alper Çiçek, A. Anıl, Ç. Konca, E. Berksoy, G. Gökalp, Ayşenur Özel Doğruöz, D. Alaygut\",\"doi\":\"10.4274/buchd.galenos.2022.38159\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"ventriküler disritmilere yol açabilir. On üç aylık erkek hasta, bilinmeyen miktarda HFA içeren markasız pas sökücü içtikten sonra hastaneye kaldırıldı. 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Cardiopulmonary resuscitation and defibrillation were carried out. Subsequently, continuous veno-venous hemodiafiltration (CVVHDF) was applied for twelve hours in the pediatric intensive care unit and he was discharged with a recovery. 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引用次数: 0
摘要
我们将继续努力。在此基础上,HFA 还能提高人体免疫力。颅骨损伤后的颅骨纤维化是一种常见的并发症。心脏复跳和去纤颤。12例静脉-静脉血液滤过疗法(CVVHDF)的疗效和安全性已得到证实。Bildiğimiz literatürde Anahtar kelimer: Hemodiyafiltrasyon, hidroflorik asit, çocuk acil servis, çocuk yoğun bakım, zehirlenme, ventriküler fibrilasyon ABSTRACT Hydrofluoric acid (HFA) 是最具腐蚀性的无机酸之一。全身中毒通常发生在摄入或吸入之后。它可导致低钙血症、低镁血症、低钾血症、酸中毒和心室性心律失常。一名 13 个月大的男性患者在饮用了含有氢氟烷烃的不明量无品牌除锈剂后住院治疗。入院后,患者在儿科急诊室突发心脏骤停并伴有心室颤动。医生对其进行了心肺复苏和除颤。随后,在儿科重症监护室进行了持续 12 小时的静脉-静脉血液透析(CVVHDF),患者康复出院。据我们所知,该病例是文献中第一例口腔暴露后存活并成功接受 CVVHDF 的儿科病例。
A Case of Severe Poisoning due to Oral Hydrofluoric Acid Ingestion that Could Survive with Timely Effective Treatments
ventriküler disritmilere yol açabilir. On üç aylık erkek hasta, bilinmeyen miktarda HFA içeren markasız pas sökücü içtikten sonra hastaneye kaldırıldı. Hastaneye kabulünün ardından hasta çocuk acil servisinde ventriküler fibrilasyon ile ani kalp durması yaşadı. Kardiyopulmoner resüsitasyon ve defibrilasyon yapıldı. Ardından çocuk ünitesinde 12 saat veno-venöz hemodiyafiltrasyon (CVVHDF) uygulandı ve şifa ile taburcu edildi. Bildiğimiz literatürde Anahtar kelimeler: Hemodiyafiltrasyon, hidroflorik asit, çocuk acil servis, çocuk yoğun bakım, zehirlenme, ventriküler fibrilasyon ABSTRACT Hydrofluoric acid (HFA) is one of the most corrosive inorganic acids. Systemic toxicity usually occurs after ingestion or inhalation. It can lead to hypocalcemia, hypomagnesemia, hypokalaemia, acidosis, and ventricular dysrhythmias. A 13-month-old male patient was hospitalized after drinking an unknown amount of unbranded rust remover that contained HFA. Following his admission to the hospital, the patient suffered a sudden cardiac arrest with ventricular fibrillation in the pediatric emergency department. Cardiopulmonary resuscitation and defibrillation were carried out. Subsequently, continuous veno-venous hemodiafiltration (CVVHDF) was applied for twelve hours in the pediatric intensive care unit and he was discharged with a recovery. To the best of our knowledge, this case is the first pediatric case in the literature to survive after oral exposure and to receive successful CVVHDF.