rapid revival of a patient after very severe metabolic acidosis: a case report
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abstract
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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Journal title:
iranian journal of toxicologyجلد ۶، شماره ۱۹، صفحات ۷۷۹-۷۸۱
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