WHOLE-BOWEL IRRIGATION AS TREATMENT FOR ZINC-SULFATE OVERDOSE

被引：22

作者：

BURKHART, KK ^{[1
]}

KULIG, KW ^{[1
]}

RUMACK, B ^{[1
]}

机构：

[1] UNIV COLORADO,HLTH SCI CTR,ROCKY MT POISON & DRUG CTR,645 BANNOCK ST,DENVER,CO 80204

来源：

ANNALS OF EMERGENCY MEDICINE | 1990年 / 19卷 / 10期

关键词：

whole-bowel irrigation; zinc sulfate; overdose;

D O I：

10.1016/S0196-0644(05)81523-9

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A 16-year-old boy ingested approximately 50 zinc sulfate tablets (ZnSO4; 500-mg tablets). After spontaneous emesis, ipecac-induced emesis, and orogastric lavage, an abdominal radiograph performed four hours after ingestion still demonstrated approximately 50 ZnSO4 tablets within the stomach and three pills within the colon. Whole-bowel irrigation was begun with a polyethylene glycol lavage solution (PEG; Golytely®) that was administered through a nasogastric tube; within one hour, the patient began producing a rectal effluent that contained pills. The patient remained asymptomatic throughout whole-bowel irrigation. Stool guaiac tests were negative. The serum chloride, however, increased from 105 to 127 mEq/L. Follow-up kidney, ureter, and bladder studies demonstrated the clearance of the zinc tablets from the gastrointestinal tract during the next 24 hours. © 1990 American College of Emergency Physicians.

引用

页码：1167 / 1170

页数：4

共 26 条

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