A case of severe ethylene glycol poisoning treated successfully by V-V ECMO combined with blood purification

VernacularTitle:静脉-静脉体外膜肺氧合联合血液净化成功救治重度乙二醇中毒1例
Author: Yongli PAN ¹ ; Shijin LYU ; Zhenhong JIANG
Author Information

1. 杭州师范大学附属医院急诊科，杭州　310015
Keywords: Poisoning; Ethylene glycol; Blood purification; Vein-Vein Extracorporeal Membrane Oxygenation; Central nervous system depression; Acute respiratory distres
From: Chinese Journal of Industrial Hygiene and Occupational Diseases 2022;40(12):947-949
CountryChina
Language:Chinese
Abstract: Ethylene glycol, also known as glycol, is a common low-temperature antifreeze used in automobiles. It is a colorless, odorless, volatile, low-sweet, sticky liquid at room temperature. Ethylene glycol is easily decomposed and absorbed through the digestive tract. Toxic metabolites cause serious clinical symptoms such as central nervous system inhibition, metabolic acidosis, cardiopulmonary symptoms and renal insufficiency, and even death. Misuse and oral suicide are the main causes of ethylene glycol poisoning. This article reports a case of severe ethylene glycol poisoning admitted to the emergency department of the Affiliated Hospital of Hangzhou Normal University in December 2021. After treatment with V-V ECMO combined with blood purification, the patient was improved and discharged from hospital.