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Ekstrem acidose hos bevidstlös patient - formodet forgiftning med kölervaeske
Engelsk titel: Extreme metabolic acidosis after presumed intoxication with ethylene glycol Läs online Författare: Lundgaard P Språk: Dan Antal referenser: 5 Dokumenttyp: Fallbeskrivning UI-nummer: 09061885

Tidskrift

Ugeskrift for Laeger 2009;171(22)1866-7 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

This case describes a 52-year-old woman admitted to the emergency room in a comatose state. An arterial gas sample revealed an extreme metabolic acidosis (pH 6.36). It was presumed that the acidosis originated from ingestion of ethylene glycol in engine coolant. This patient recovered fully following dialysis, infusion of ethanol, inotropics and respiratory support. It is emphasised that such intoxication must be considered in unexplained cases of metabolic acidosis.