rapid revival of a patient after very severe metabolic acidosis: a case report

نویسندگان

سجاد احمدی

sajad ahmadi resident of emergency medicine, tabriz university of medical sciences, tabriz, iran. صمد شمس وحدتی

samad shams vahdati department of emergency medicine, tabriz university of medical sciences, tabriz, iran. هنگامه خدیوی هریس

henghameh khadivi heris intern ship, tabriz university of medical sciences, tabriz, iran. محمدعلی خواجه ای

mohammadali khajehee emergency physician, sina hospital,tabriz university of medical sciences, tabriz, iran.

چکیده

background: metabolic acidosis is a fatal finding in trauma patients that complicates the process of resuscitation. case: the case was a 37-year-old man with open fracture in both legs and fracture in second lumbar vertebral (l2). the serial arterial blood gas (abg) test results showed a ph value of 6.7 indicating a very severe and special case of metabolic acidosis. the rate of mortality for such a case was very high. the patient was treated with sodium bicarbonate and successfully revived after four hours post treatment and metabolic acidosis was resolved. conclusion: this indicated that bicarbonate administration is useful for very severe cases. the good condition of the patient after survival from the severe academia allowed for extubation.

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عنوان ژورنال:
iranian journal of toxicology

جلد ۶، شماره ۱۹، صفحات ۷۷۹-۷۸۱

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