[Sodium intoxication with fatal outcome caused by peritoneal lavage with hypertonic solution of NaCl].
Sud Med Ekspert
; 52(4): 34-6, 2009.
Article
em Ru
| MEDLINE
| ID: mdl-19769316
ABSTRACT
We report a case of fatal sodium poisoning due to the unintentional use of 20% hypertonic saline serum during peritoneal lavage after intestinal resection. The patient presented with unconsciousness, metabolic acidosis, and plasma sodium concentration of 193 mE/l. After 3 hours, he developed paroxysmal supraventricular tachycardia, hyperthermia, generalized tonic-clonic convulsions, disseminated intravascular coagulation, and adult respiratory distress syndrome. The patient died 15 hours after the operation. Pathological examination revealed cerebral and lung oedema, pericentral hepatic necrosis, and fibrin thrombi in the lungs, stomach, and kidneys. We review, in addition, other reported cases of sodium poisoning.
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Base de dados:
MEDLINE
Assunto principal:
Solução Salina Hipertônica
/
Acidose
/
Lavagem Peritoneal
/
Hipernatremia
Idioma:
Ru
Ano de publicação:
2009
Tipo de documento:
Article