乙二醇中毒尿液“尖桩栅栏”结晶

M. Chothia, Nabeel A Bapoo
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引用次数: 0

摘要

一名46岁的女性故意摄入乙二醇并过量服用扑热息痛。她的临床和实验室特征提示乙二醇中毒,尿液检查显示草酸钙一水合物或“栅栏”结晶。她对包括血液透析在内的治疗反应良好。临床医生应该意识到,这些晶体在乙二醇中毒的发展过程中出现较晚,与其他临床和实验室发现一起,应该促使开始血液透析。
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Urine ‘picket fence’ crystals in ethylene glycol poisoning
A 46-year-old woman intentionally ingested ethylene glycol and overdosed on paracetamol. She had clinical and laboratory features suggestive of ethylene glycol poisoning, and examination of the urine revealed calcium oxalate monohydrate, or ‘picket fence’, crystals. She responded well to therapy that included haemodialysis. Clinicians should be aware that these crystals appear late during the evolution of ethylene glycol poisoning and, along with other clinical and laboratory findings, should prompt the initiation of haemodialysis.
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审稿时长
39 weeks
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