- 期刊
Acute Oral Acetic Acid Intoxication: A Case Report
急性口服醋酸中毒：一個案例報告
摘要
稀釋的醋酸以食用醋(5%)的形式對於人們消費使用上是安全的，然而，誤食只有微弱稀釋或甚至未稀釋的醋酸卻可能造成死亡。一位49歲的男性因為誤食醋酸而送到醫院急診室，一連串的檢驗顯示酸中毒、瀰漫性血管內凝固病變、急性肝臟受損、急性腎臟衰竭、以及急性呼吸衰竭。上胃腸道內視鏡顯現第3級的胃腸腐蝕性傷害且病人有腹膜刺激的現象，胃切除手術被緊急實施，經過積極治療，病人在入院8小時內病危出院而病逝於家中。在我們的文獻回顧中，並沒有因為醋酸中毒而實施手術或切片檢體病理報告。病理報告呈現廣泛的壞死性發炎及大量的出血，與腐蝕性的傷害表現一致。血液透析法在嚴重的酸中毒及腎衰竭形成時應該採取。
並列摘要
Diluted acetic acid in the form of vinegar (5%) is safe for human consumption; however, intake of weakly diluted or undiluted acetic acid can be deadly. A 49-year-old man presented to the emergency department with acute acetic acid intoxication. Results from various tests revealed metabolic acidosis, disseminated intravascular coagulopathy, acute liver dysfunction, acute renal failure, and acute respiratory failure. Upper gastrointestinal panendoscopy revealed third-degree gastrointestinal corrosion. The signs of peritoneal irritation were noted. An emergency total gastrectomy was performed. After aggressive treatment, the patient was discharged in critical condition 8 hours after having arrived at the emergency department and died at home. In our review of the literature, no reports have been published regarding surgery or the taking of biopsy specimens in patients with acetic acid intoxication. The pathology of the biopsy specimens taken from revealed extensive necrotizing inflammation and massive hemorrhage. Hemodialysis may be performed when severe metabolic acid and renal failure develop in patients with acute acetic acid intoxication.