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A case of severe poisoning with ethylene glycol butyl ether (EGBE) after massive ingestion is described. Deep coma, metabolic acidosis, hypokalaemia, haemoglobinuria, oxaluria and a transitory rise in the serum creatinine level were observed. The elimination of the various metabolites butoxyacetic acid and oxalate was assessed in urine and a metabolic pattern for EGBE is suggested.
L'article, fondé sur une recherche-action réalisée dans une grande entreprise pharmaceutique, propose de considérer les outils de gestion comme des textes. Cette approche « narrative » éclaire la manière dont un outil s'inscrit dans le concert des autres outils déjà présents dans l'organisation. Elle décrit comment le middlemanagement et les opérateurs, par la lecture qu'ils font des outils, participent à la fabrique de la stratégie réelle de l'entreprise.
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