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异维 A 酸胶囊中毒致凝血功能异常 1 例

杨 三平

摘要

本文报道1例2岁2月龄儿童意外口服异维A酸胶囊后引发严重凝血功能异常的临床病例,分析其临床诊疗过程及发病机制。患儿误服药物后3小时余入院,经洗胃、补液利尿等常规中毒处理后,采血检查提示凝血功能多项指标显著异常,予肌注维生素K1对症干预后,凝血指标快速恢复正常,血常规、肝功能、电解质等指标无明显异常,治疗3天后患儿痊愈出院。本病例提示,儿童异维A酸胶囊中毒可引发严重凝血功能紊乱,临床接诊此类误服患儿时,需及时完善凝血功能检查,早期补充维生素K1是纠正凝血功能异常的关键,可有效改善预后,避免严重出血并发症发生。

关键词

异维A酸胶囊;药物中毒;凝血功能异常;儿童;维生素K1

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参考

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