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首页> 外文期刊>Hong Kong journal of emergency medicine. >Continuous Renal Replacement Therapy in a Patient with Cardiac Arrest after Glyphosate-Surfactant Herbicide Poisoning
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Continuous Renal Replacement Therapy in a Patient with Cardiac Arrest after Glyphosate-Surfactant Herbicide Poisoning

机译：草甘膦表面活性剂除草剂中毒后心脏骤停患者的连续肾脏替代治疗

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摘要

Intractable hypotension is a major cause of death after glyphosate-surfactant herbicide poisoning. However, there is no specific treatment besides conservative care. Herein, we report a patient poisoned by glyphosate-surfactant herbicide experiencing cardiac arrest but was successfully resuscitated and treated with continuous venovenous haemodiafiltration (CVVHDF). The 60-year-old patient was brought to our emergency department after ingesting glyphosate-surfactant herbicide. He developed pulmonary oedema, severe metabolic acidosis (pH 6.960), and hyperkalaemia (serum potassium 8.8 mmol/L). Although he experienced cardiac arrest for about 12 minutes, the use of CVVHDF improved the metabolic acidosis and hyperkalaemia, and finally stabilised his vital signs. He regained an alert mental state after therapeutic hypothermia. CVVHDF, which is a better tolerated renal replacement therapy than haemodialysis in haemodynamically unstable patients, should be considered in glyphosate-surfactant poisoned patients of intractable hypotension with severe metabolic acidosis or hyperkalaemia.
机译：顽固性低血压是草甘膦表面活性剂除草剂中毒后死亡的主要原因。但是，除了保守治疗外，没有其他特殊治疗方法。本文中，我们报道了一名患者因草甘膦表面活性剂除草剂中毒而经历心脏骤停，但成功复苏并接受了连续静脉血液透析滤过（CVVHDF）。摄入草甘膦表面活性剂除草剂后，这名60岁患者被带到我们的急诊科。他发展为肺水肿，严重的代谢性酸中毒（pH 6.960）和高钾血症（血清钾8.8 mmol / L）。尽管他经历了大约12分钟的心脏骤停，但使用CVVHDF改善了代谢性酸中毒和高钾血症，并最终稳定了他的生命体征。治疗性体温过低后，他恢复了机敏的精神状态。在血流动力学不稳定的患者中，CVVHDF比血液透析具有更好的耐受性，可替代草甘膦表面活性剂中毒并伴有严重的代谢性酸中毒或高钾血症的低血压患者。

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