Rapid Revival of a Patient after very Severe Metabolic Acidosis: A Case Report

نویسندگان

  • Henghameh Khadivi Heris Intern Ship, Tabriz University of Medical Sciences, Tabriz, Iran.
  • Mohammadali Khajehee Emergency Physician, Sina Hospital,Tabriz University of Medical Sciences, Tabriz, Iran.
  • Sajad Ahmadi Resident of Emergency Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
  • Samad Shams Vahdati Department of Emergency Medicine, Tabriz University Of Medical Sciences, Tabriz, Iran.
چکیده مقاله:

Background: Metabolic acidosis is a fatal finding in trauma patients that complicates the process of resuscitation. Case: The case was a 37-year-old man with open fracture in both legs and fracture in second lumbar vertebral (L2). The serial arterial blood gas (ABG) test results showed a pH value of 6.7 indicating a very severe and special case of metabolic acidosis. The rate of mortality for such a case was very high. The patient was treated with sodium bicarbonate and successfully revived after four hours post treatment and metabolic acidosis was resolved. Conclusion: This indicated that bicarbonate administration is useful for very severe cases. The good condition of the patient after survival from the severe academia allowed for extubation.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

rapid revival of a patient after very severe metabolic acidosis: a case report

background: metabolic acidosis is a fatal finding in trauma patients that complicates the process of resuscitation. case: the case was a 37-year-old man with open fracture in both legs and fracture in second lumbar vertebral (l2). the serial arterial blood gas (abg) test results showed a ph value of 6.7 indicating a very severe and special case of metabolic acidosis. the rate of mortality for s...

متن کامل

Topiramate and severe metabolic acidosis: case report.

Topiramate infrequently induces anion gap metabolic acidosis through carbonic anhydrase inhibition on the distal tubule of the nephron--a type 2 renal tubular acidosis. We report on a 40 years old woman previously healthy that developed significant asymptomatic metabolic acidosis during topiramate therapy at a dosage of 100 mg/day for three months. Stopping medication was followed by normalizat...

متن کامل

A Case Report of A Persian Patient with Crossed Aphasia: Agrammatism after Right Hemisphere Lesion

Crossed aphasia in dextral (CAD) refers to aphasia occurring after right brain damage in dextral persons. CAD is a rare phenomenon in the world and there has not been any report of crossed aphasia in Persian, that is why we measured to report a Persian patient with crossed aphasia and this is a first report of incidence of CA in Persian. In this case report study, we offered a complete report o...

متن کامل

Case Report Of Severe Generalized Tetanus In a 18 y/o Patient

Tetanus is a life-threatening neurologic disease caused by an infectious agent, Clostridium Tetani, and is one of the infectious diseases that is preventable by vaccination. Tetanus is characterized by painful muscle spasm and increased muscle tone, that is caused by tetanospasmin, a powerful toxin elaborated by Clostridium tetani. Due to worldwide regular vaccination, this disease rarely see...

متن کامل

Large Hydatid Cyst of Ovary A Very Rare Case Report

  Human hydatid cyst is a wide spread disease. It is an endemic disease in Iran. Hydatid cyst is extremely rare in the female reproductive organs. This is a case report of ovarian hydatid cyst in a 42-year-old woman. She presented with feeling of enlargement of abdomen and abdominal pain. On physical examination, a large mass in lower abdomen palpated. Ultrasonography reported a heterogeneous ...

متن کامل

Rapid Spontaneous Coronary Artery Reperfusion Following Severe Bradycardia During Exercise Tolerance Test: A Rare Case Report

The acute occlusion of a coronary artery without the evidence of myocardial infarction might immediately affect both the diagnosis and treatment of coronary artery disease. We present the case with a sudden occlusion of the left main coronary artery without typical chest pain following an exercise tolerance test and rapid spontaneous reperfusion of the left main coronary artery.

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ذخیره در منابع من قبلا به منابع من ذحیره شده

{@ msg_add @}


عنوان ژورنال

دوره 6  شماره None

صفحات  779- 781

تاریخ انتشار 2013-01

با دنبال کردن یک ژورنال هنگامی که شماره جدید این ژورنال منتشر می شود به شما از طریق ایمیل اطلاع داده می شود.

کلمات کلیدی

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023