First-order alcohol elimination in severe alcohol intoxication in an adolescent: a case report

被引：4
|
作者：
Lamminpaa, Anne [1 ]
Hoppu, Kalle [2 ]
机构：
[1] State Treasury, Div Insurance, POB 10, FI-00054 Helsinki, Finland
[2] Univ Hosp Helsinki, Poison Informat Ctr, Helsinki 00290, Finland
来源：
AMERICAN JOURNAL OF EMERGENCY MEDICINE | 2009年 / 27卷 / 01期
关键词：
D O I：
10.1016/j.ajem.2008.04.012
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
We report a case of severe ethanol intoxications in a 14-year-old boy whose starting blood alcohol concentration was 490 mg/dL. The intoxication led to coma with hypoventilation, hypoxemia, hypothermia, and a life-threatening situation. Elimination of ethanol followed nonlinear first-order concentration-dependent pharmacokinetics. Fluid balance was disturbed because of marked diuresis, and respirator treatment was needed. The treatment of fluid balance and the risk of hypoxemia in severe alcohol poisoning are emphasized.
引用
收藏
页码：128.e5 / 128.e6
页数：2
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