P Harry, G Bouachour, P Tirot, J M Chennebault, A Cailleux, P Allain, P Alquier
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引用次数: 0
摘要
本文报道了三例碘仿中毒病例,在扩展伤口上使用10%碘仿纱布(0.10 x 5 m)敷料。在开始敷料后的第5天、第10天和第16天,患者变得困惑、产生幻觉,其中一人随后陷入昏迷。呕吐、发热、心动过速伴室性早搏、P-R间期缩短、转氨酶轻度升高、蛋白尿。停用碘仿敷料后几天(3 ~ 8天)内,碘仿毒性症状消失。如果将发表的观察结果的稀缺性和每年出售的碘仿纱布的数量进行比较,就可能无法认识到碘仿的毒性。
Three cases of iodoform poisoning are described following dressings with 10% iodoform gauze (0.10 x 5 m) on extended wounds. Five, ten and sixteen days after the beginning of dressings, the patients became confuse, hallucinated, and one of them was subsequently comatose. Vomiting, fever, tachycardia with premature ventricular beats and shortening of P-R interval, slight increase of transaminases and proteinuria were observed. Within a few days (3 to 8) after the iodoform dressings were discontinued, the signs of iodoform toxicity disappeared. The toxicity of iodoform is probably unrecognized if the rarity of the observations published and the amount of iodoform gauzes annually sold are compared.