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Stručni rad
https://doi.org/10.2478/10004-1254-65-2014-2393

Primjena intra-aortne balonske pumpe pri kardiogenom šoku uzrokovanom trovanjem aluminijevim fosfidom

Omid Mehrpour ; Atherosclerosis and Coronary Artery Research Center, Birjand University of Medical Sciences, Birjand, Iran
Ahmad Amouzeshi ; Department of Cardiac Surgery, Birjand University of Medical Sciences, Birjand, Iran
Bita Dadpour ; Addiction Research Centre, Mashhad, Iran
Zohreh Oghabian ; Department of Clinical Toxicology, Kerman University of Medical Sciences, Kerman, Iran
Nasim Zamani ; Department of Clinical Toxicology, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Shahram Amini ; Department of Anesthesiology, Mashhad University of Medical Toxicology Sciences, Mashhad, Iran
Robert S. Hoffman ; Division of Medical Toxicology, Department of Emergency Medicine, NYU School of Medicine, Bellevue Hospital Center, NY, USA

Puni tekst: engleski, pdf (1020 KB) str. 121-126 preuzimanja: 618* citiraj
APA 6th Edition
Mehrpour, O., Amouzeshi, A., Dadpour, B., Oghabian, Z., Zamani, N., Amini, S. i Hoffman, R.S. (2014). Successful treatment of cardiogenic shock with an intraaortic balloon pump following aluminium phosphide poisoning. Arhiv za higijenu rada i toksikologiju, 65 (1), 121-126. https://doi.org/10.2478/10004-1254-65-2014-2393
MLA 8th Edition
Mehrpour, Omid, et al. "Successful treatment of cardiogenic shock with an intraaortic balloon pump following aluminium phosphide poisoning." Arhiv za higijenu rada i toksikologiju, vol. 65, br. 1, 2014, str. 121-126. https://doi.org/10.2478/10004-1254-65-2014-2393. Citirano 23.01.2021.
Chicago 17th Edition
Mehrpour, Omid, Ahmad Amouzeshi, Bita Dadpour, Zohreh Oghabian, Nasim Zamani, Shahram Amini i Robert S. Hoffman. "Successful treatment of cardiogenic shock with an intraaortic balloon pump following aluminium phosphide poisoning." Arhiv za higijenu rada i toksikologiju 65, br. 1 (2014): 121-126. https://doi.org/10.2478/10004-1254-65-2014-2393
Harvard
Mehrpour, O., et al. (2014). 'Successful treatment of cardiogenic shock with an intraaortic balloon pump following aluminium phosphide poisoning', Arhiv za higijenu rada i toksikologiju, 65(1), str. 121-126. https://doi.org/10.2478/10004-1254-65-2014-2393
Vancouver
Mehrpour O, Amouzeshi A, Dadpour B, Oghabian Z, Zamani N, Amini S i sur. Successful treatment of cardiogenic shock with an intraaortic balloon pump following aluminium phosphide poisoning. Arh Hig Rada Toksikol. [Internet]. 2014 [pristupljeno 23.01.2021.];65(1):121-126. https://doi.org/10.2478/10004-1254-65-2014-2393
IEEE
O. Mehrpour, et al., "Successful treatment of cardiogenic shock with an intraaortic balloon pump following aluminium phosphide poisoning", Arhiv za higijenu rada i toksikologiju, vol.65, br. 1, str. 121-126, 2014. [Online]. https://doi.org/10.2478/10004-1254-65-2014-2393

Sažetak
Aluminijev fosfid (AlP) visoko je toksičan pesticid koji inhibira citokrom c oksidazu i uzrokuje oksidacijski stres. Smrt nastupa nakon refraktornog kardiogenog šoka uslijed miokardijalne disfunkcije. Vrlo je malo literature o izvantjelesnim sredstvima održavanja na životu nakon otrovanja AlP-om. Iako postoji određeni broj terapija, nijedna ne vodi do potpunoga izlječenja. Prikazan je slučaj uporabe intra-aortne balonske pumpe (IABP) kod 24-godišnje žene otrovane namjernim uzimanjem AlP-a (3 g), što je uzrokovalo refraktorni kardiogeni šok i akutni respiratorni distres sindrom (ARDS). Pacijentici je želudac ispran kalijevim permanganatom, intravenozno je primila natrijev bikarbonat te je zbrinuta u jedinici za intenzivnu skrb. Ehokardiografija 36 h nakon uzimanja tablete AlP-a pokazala je ejekcijsku frakciju lijevog ventrikula (LVEF) od < 20 %. Nakon umetanja IABP-a vitalni su se znakovi su se poboljšali. Pumpa je uklonjena nakon osam dana, a dvadesetoga dana LVEF je iznosio 50 %. Naši rezultati pokazuju da bi primjena IABP-a mogla poboljšati prognoze pacijenata s refraktornim kardiogenim šokom uslijed teškog otrovanja s AlPom. Stoga preporučujemo kliničkim toksikolozima da razmotre ovaj novi tretman.

Ključne riječi
hitni medicinski tretman; izvantjelesna sredstva održavanja na životu; otrovanje pesticidom

Hrčak ID: 117140

URI
https://hrcak.srce.hr/117140

[engleski]

Posjeta: 972 *