急性大量二甲双胍中毒救治成功1例

Successful treatment for acute massive metformin poisoning:a case report

患者,男,31岁,既往有2型糖尿病,因口服60g二甲双胍后出现呕吐、腹泻、乏力、气促等14h入院。诊断:急性二甲双胍中毒,代谢性酸中毒,乳酸酸中毒,休克,急性肾损伤,急性心肌损伤,凝血功能异常,电解质紊乱,2型糖尿病等。经过洗胃、大量补液、输血浆、血液灌流及血液滤过等治疗后治愈出院。

A 31-year-old male with a history of type 2 diabetes,He was admitted to the hospital due to vomiting,diarrhea,fatigue,shortness of breath after taking 60 g of metformin orally for 14 hours.The diagnosis was:acute metformin poisoning,metabolic acidosis,lactic acidosis,shock,acute kidney injury,acute myocardial injury,abnormal coagulation function,electrolyte disorder,type 2 diabetes mellitus,etc.,were cured after gastric lavage,massive fluid rehydration,blood transfusion,hemofiltration,blood perfusion and other treatments.