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首页> 外文期刊>Pediatric critical care medicine: a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies >Warning note on a blood gas report leading to diagnosis of acetaminophen overdose.
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Warning note on a blood gas report leading to diagnosis of acetaminophen overdose.

机译：血气报告中的警告提示，导致对乙酰氨基酚过量的诊断。

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OBJECTIVE: To report a case of acetaminophen toxicity diagnosed after a warning note of "interfering substances" on the blood gas report, leading to early and successful treatment. DESIGN: Case report. SETTING: Tertiary-care pediatric intensive care unit. Patient: A 14-yr-old boy admitted unconscious with lactic academia and hyperglycemia. INTERVENTIONS: Routine investigations. MEASUREMENTS AND MAIN RESULTS: His initial investigations revealed hyperglycemia and lactic acidosis. An annotation of "interfering substances" on the blood gas report prompted us to investigate for toxic substances, and an acetaminophen overdose was confirmed. CONCLUSIONS: A persistent warning note on the blood gas report of a sick child with elevated lactate and glucose should alert the clinician to the possibility of an acetaminophen overdose.
机译：目的：在血气报告中报告一例对乙酰氨基酚中毒的病例，该患者在发出“干扰物质”警告提示后被诊断出，从而导致早期成功治疗。设计：病例报告。地点：三级护理小儿重症监护室。病人：一个14岁的男孩因乳酸性学术和高血糖而昏迷。干预措施：例行调查。测量和主要结果：他的初步研究发现高血糖症和乳酸性酸中毒。血气报告中的“干扰物质”注释提示我们进行有毒物质调查，并确认了对乙酰氨基酚过量。结论：对于患乳酸和葡萄糖升高的患病儿童的血气报告的持续警告提示应提醒临床医生对乙酰氨基酚过量的可能性。

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