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Rice pill poisoning: effect of hemodialysis on correction of acidosis and outcome of patients
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Zahra Khalighi   , Reza Asadzadeh * , Bahareh Ghiasi , Nahid Mamizadeh , Maryam Nikmanesh , Hadis Khorshidsavar |
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Abstract: (592 Views) |
It is relatively common to use aluminum phosphide to store rice and other grains in warehouses and prevent the harmful effects of pests. Improper use of these poisons in humans causes various acute and chronic poisonings. In this study, acute poisoning with aluminum phosphide poison was investigated in four cases of attempted suicide who underwent hemodialysis and recovered.
The first patient, a 16-year-old man, had committed suicide by consuming one aluminum phosphide tablet one hour before the visit, and two two-hour dialysis sessions were performed for the patient on two consecutive days. The patient recovered and was discharged. The second patient, a 22-year-old man, had taken three aluminum phosphide tablets an hour before his visit, and he underwent dialysis for 3 hours to correct his acidosis. The third patient, a 16-year-old man who had taken half of aluminum phosphide tablets, underwent dialysis for 3 hours and was referred to the psychiatric department in a stable condition. The fourth patient, a 24-year-old woman, had taken 2.5 tablets of aluminum phosphide with water one hour before visiting. Dialysis was performed for 3 hours and the patient was discharged with full recovery. The results showed that hemodialysis corrects metabolic acidosis and improves clinical outcomes associated with aluminum phosphide poisoning. Therefore, due to the hemodynamic imbalance and the presence of hypotension and shock in most patients with rice pill poisoning, it is better to use continuous arterial and venous hemodialysis.
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| Keywords: kidney replacement therapy, phosphine, acidosis, suicide attempt |
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Full-Text [PDF 465 kb]
(138 Downloads)
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Type of Study: case report |
Subject:
General
Received: 2023/04/15 | Accepted: 2023/05/12 | Published: 2024/01/13
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