一例急性硫酸铜中毒患者成功救治后持续高血糖分析

李婷; 陆远强

doi:10.1631/jzus.B2400305

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一例急性硫酸铜中毒患者成功救治后持续高血糖分析

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Correspondence | Updated：2024-12-27

一例急性硫酸铜中毒患者成功救治后持续高血糖分析
Residual hyperglycemia after successful treatment of a patient with severe copper sulfate poisoning
浙江大学学报（英文版）（B辑：生物医学和生物技术） 2024年25卷第12期页码：1120-1124
Affiliations：

1.Department of Emergency Medicine, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou310003, China
2.Zhejiang Key Laboratory for Diagnosis and Treatment of Physic-chemical and Aging-related Injuries, Hangzhou310003, China
Funds：

the National Key Research and Development Program of China(2023YFC3603100;2023YFC3603105);the “Leading Goose” R&D Program of Zhejiang(2022C03076-4)
DOI：10.1631/jzus.B2400305
中图分类号：
CSTR：
纸质出版日期： 2024-12-15 ，

网络出版日期： 2024-12-18 ，

收稿日期： 2024-06-11 ，

修回日期： 2024-08-11 ，
Accepted：

李婷,陆远强.一例急性硫酸铜中毒患者成功救治后持续高血糖分析[J].浙江大学学报（英文版）（B辑：生物医学和生物技术）,2024,25(12):1120-1124.

TING LI, YUAN-QIANG LU. Residual hyperglycemia after successful treatment of a patient with severe copper sulfate poisoning. [J]. Journal of zhejiang university-science b (biomedicine & biotechnology), 2024, 25(12): 1120-1124.
李婷,陆远强.一例急性硫酸铜中毒患者成功救治后持续高血糖分析[J].浙江大学学报（英文版）（B辑：生物医学和生物技术）,2024,25(12):1120-1124. DOI： 10.1631/jzus.B2400305.

TING LI, YUAN-QIANG LU. Residual hyperglycemia after successful treatment of a patient with severe copper sulfate poisoning. [J]. Journal of zhejiang university-science b (biomedicine & biotechnology), 2024, 25(12): 1120-1124. DOI： 10.1631/jzus.B2400305.

摘要

Abstract

硫酸铜中毒虽然比较罕见，但却能导致包括胃肠道损伤、溶血、高铁血红蛋白血症、横纹肌溶解，甚至多器官功能障碍在内的多种严重症状。目前的研究缺乏对硫酸铜毒性长期后遗症的探索。本病例报告介绍了一名17岁女性患者，在口服大量硫酸铜溶液后，先后出现了剧烈呕吐、腹部疼痛、溶血、高铁血红蛋白血症及多器官功能障碍的症状。主要的治疗措施包括洗胃、血浆置换、持续肾脏替代治疗以及支持性治疗。尽管经过及时抢救，该患者急性毒性反应得到有效控制，但患者出现了难以控制的高血糖，并需长期使用胰岛素治疗。本病例强调了对硫酸铜中毒患者长期并发症监测的重要性。

关键词

硫酸铜中毒多器官功能障碍综合征高血糖

Keywords

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