SONUÇ: Akut intoksikasyon vakaları ciddi bir klinik tablo oluşturabileceği için YBÜ' de takip edilmesi gereken hasta grubudur. Bu hastalarda zehirlenmeye neden olabilecek ilaç ve maddeler en kısa sürede saptanmalı, oluşabilecek yan etkilere karşı dikkatli olunmalı ve hızlıca tedaviye başlanmalıdır.
In adults, the common cause of iron poisoning is iron overload caused by large excess of iron supplement in take at suicidal attemps. When serum iron level exceeds the iron binding capacity of the body, free radicals occur, leading to lipid peroxidation and cellular membrane damage. In iron poisoning, most affected organs are liver, heart, kidney and lungs. Also hematologic system is affected negatively. Acute iron poisoning can cause serious complications resulting in death. The treatment scheme is determined by the type of iron preparation, time of intake, and the onset of symptoms. Initial treatment approaches mostly consist of supportive care and removal of iron with bowel irrigation. 1-3 Early treatment and close follow-up in intensive care unit are important for acute iron poisoning. In this case report, we examined the approach to a case of acute iron poisoning with moderated oseiron intake for suicide attempt.
Bu çalışmada, periferde yer alan yeni kurulan erişkin yoğun bakım ünitesinde takip edilen perkütan trakeostomi ve cerrahi trakeostomi uygulanmış hastaları retrospektif olarak sunmayı amaçladık.
Melkersson-Rosenthal Syndrome (MRS) is a rare disease characterized by persistent or recurrent orofacial oedema, relapsing peripheral facial paralysis, and furrowed tongue. Pathologically, granulomatosis is responsible for oedema of face, labia, oral cavity, and facial nerve. We present a patient with MRS admitted to our hospital with acute respiratory distress syndrome (ARDS). 45-year-old woman was admitted to an emergency department with dyspnea and swelling on her hands and face. She was intubated because of ARDS and accepted to intensive care unit (ICU). After weaning from ventilatory support, peripheral facial paralysis was diagnosed and steroid treatment was added to her therapy. On dermatologic examination, oedema on her face, pustular lesions on her skin, and fissure on her tongue were detected. The patient informed us about her recurrent and spontaneous facial paralysis in previous years. According to her history and clinical findings, MRS was diagnosed.
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