Metil Alkol Zehirlenmeleri

Yıl 2022, Cilt: 5 Sayı: 1, 37 - 42, 09.03.2022

Ömer Taşkın , Ayça Açıkalın , Rana Dişel

https://doi.org/10.54996/anatolianjem.1080055

Öz

Tüm dünyada, metil alkole bağlı toksik felaketler, ara ara epidemi şeklinde pek çok ölüme sebebiyet vermiştir. Ülkemizde de, dönem dönem, düşük maliyetli içki elde edebilmek için yapılan, yasadışı içeceklerin tüketilmesine bağlı metil alkol zehirlenmesi vakalarına, acil servislerde maalesef giderek artan sıklıkta rastlanılmaktadır. Tedavide, hastaların erken acil başvurusunun yanında, sıradan bir etil alkol alımı nedeniyle başvuran diğer hastalardan ayırımı, yani erken tanısı, oldukça önemlidir. Bu parametrelerin yanısıra hastanın etkin tedavi edilebilmesi için, hemodiyaliz gibi kaynaklara acil ulaşım da tedavinin kilit taşını oluşturmaktadır.
Bu nedenle yazımızda, metil alkol zehirlenmelerinin acil servislerde erken tespiti, ayırıcı tanısı, antidot tedavisi, hemodiyaliz endikasyonları ve bu konudaki kaynaklarımızın yeterliliği güncel literatür eşliğinde tartışılacaktır.

Anahtar Kelimeler

Metil alkol, hemodiyaliz, fomepizol, metabolik asidoz

Methyl Alcohol Intoxications

Öz

All over the world, toxic disasters related to methyl alcohol have caused many deaths in the form of occasional epidemics. In our country, cases of methyl alcohol poisoning due to the consumption of illegal beverages, which are made to obtain low-cost drinks from time to time, are encountered with an increasing frequency in emergency services. In the treatment, besides the early emergency admission of the patients, it is very important to distinguish them from the other patients who apply for an ordinary ethyl alcohol intake, in other words, early diagnosis. In addition to these parameters, emergency access to resources such as hemodialysis is the keystone of treatment for the patient to be treated effectively.
We aim to discuss the clinical findings and treatment methods of this poisoning, in which early diagnosis and treatment are life-saving, in the light of current literature.

Anahtar Kelimeler

Methyl alcohol, hemodialysis, fomepizole, metabolic acidosis

Kaynakça

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