One patient with severe phenol burn complicated with acute poisoning
10.3760/cma.j.cn501120-20190709-00295
- VernacularTitle:严重苯酚烧伤合并急性中毒一例
- Author:
Xuanliang PAN
1
;
Guoxian CHEN
;
Chuangang YOU
;
Chunmao HAN
;
Pengcheng WU
Author Information
1. 浙江大学医学院附属第二医院烧伤与创面修复科，杭州 310009
- Keywords:
Burns, chemical;
Poisoning;
Phenol;
Hemodialysis;
Hemoperfusion;
Continuous renal replacement therapy
- From:
Chinese Journal of Burns
2020;36(8):746-747
- CountryChina
- Language:Chinese
-
Abstract:
On April 26, 2018, a 55-year-old male patient with severe phenol burn complicated with acute poisoning was admitted to the Second Affiliated Hospital of Zhejiang University School of Medicine. The patient quickly developed the symptoms of central nervous system including blurred consciousness and restlessness, anuria, and respiratory failure. After self-rescue before admission and a series of measures in hospital including wound decontamination to reduce phenol absorption, rapid massive infusion and hemodialysis+ hemoperfusion, continuous renal replacement therapy for speeding up phenol excretion and organ function maintenance, the poisoning symptoms were effectively alleviated, and the patient was finally rescued successfully and discharged on post injury day 29. This case suggests that early hemodialysis combined with hemoperfusion and continuous renal replacement therapy are effective methods for treating severe phenol burn complicated with acute poisoning.
