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Acute renal failure following methanol poisoning [Metanol zehi̇rlenmesi̇ sonrasinda geli̇şen akut böbrek yetmezli̇ǧi̇]
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نویسنده
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özcan n. ,türkoǧlu m. ,baltaci b. ,kaymak ç. ,başar h.
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منبع
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journal of anesthesia - 2010 - دوره : 18 - شماره : 3 - صفحه:175 -178
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چکیده
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Introduction: methyl alcohol (methanol),is a toxic alcohol synthesized by catalytic reduction of carbon monoxide. acute renal failure is defined as a terminal complication in methanol poisoning. presentation of a case who developed acute renal failure following methanol poisoning is aimed in recent study. case: thirty four years old male was referred to our hospitals emergency service 10 hours after ingestion of alcohol with unidentified ingredient. because of pao 2: 111 mm hg,paco 2: 22 mmhg,ph: 7.00,hco 3: 6 mmol l -1 in arterial blood and with high anion gap,urgent hemodialysis was planned. pao 2: 80 mm hg,paco 2: 21 mmhg,ph: 7.36,hco 3: 11 mmol l -1 after hemodialysis. since the blood methanol level was still 30 mg dl -1 fomepizol therapy is initiated. at the fifth day of admittance blood gas analysis revealed pao 2: 74 mmhg,paco 2: 26 mmhg,ph: 7.43,hco 3: 17 mmol l -1 and renal function tests reached peak values as; urea: 149 mg dl -1,cre: 4.6 mg dl -1,uric acid: 10.4 mg dl -1. until the 14th day of admittance patient was followed up without hemodialysis and since kidney function tests were urea: 24 mg dl -1,cre: 1.36 mg dl -1,uric acid: 5.2 mg dl -1 decision was made to discharge from hospital. conclusion: acute renal failure may develop following methanol intoxication. it is possible to prevent development of acute renal failure with early hemodialysis interventions.
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کلیدواژه
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Methanol; Poisoning; Renal dialysis; Renal failure
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آدرس
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ankara eǧitim araştirma hastanesi,1. anesteziyoloji ve reanimasyon kliniǧi, Turkey, ankara eǧitim araştirma hastanesi,1. anesteziyoloji ve reanimasyon kliniǧi, Turkey, ankara eǧitim araştirma hastanesi,1. anesteziyoloji ve reanimasyon kliniǧi, Turkey, ankara eǧitim araştirma hastanesi,1. anesteziyoloji ve reanimasyon kliniǧi, Turkey, ankara eǧitim araştirma hastanesi,1. anesteziyoloji ve reanimasyon kliniǧi, Turkey
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Authors
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