标题：Esophageal mucosa exfoliation induced by oxalic acid poisoning: A case report
作者：Wang, Jieru; Kan, Baotian; Jian, Xiangdong; Wu, Xiaopeng; Yu, Guancai; Sun, Jing
作者机构：[Wang, Jieru; Kan, Baotian; Jian, Xiangdong; Yu, Guancai; Sun, Jing] Shandong Univ, Dept Poisoning & Occupat Dis, Qilu Hosp, Jinan 250012, Shandong, P 更多
会议名称：Paediatric Virology Workshop
会议日期：OCT 10-10, 2015
来源：EXPERIMENTAL AND THERAPEUTIC MEDICINE
关键词：acute oxalic acid poisoning; esophageal mucosa injury; digestive tract; expansion; interventional therapy
摘要：This study reports the case of a 44-year-old woman with oral oxalic acid poisoning. As the illness progressed, the patient exhibited severe metabolic acidosis, large-area esophageal mucosa injury and acute kidney injury, which required dialysis. A guide wire slipped out of position during the process of hemodialysis and moved back and forth in the veins, but was removed successfully by interventional endovascular treatment. However, the patient's esophageal mucosa exfoliated, which lead to severe benign esophageal stenosis and dysphagia. Balloon distention was conducted twice in the upper digestive tract using X-ray location in combination with a dumb-bell bladder and interventional wire. The patient exhibited convulsions, shock, embolism and loss of consciousness while undergoing the second balloon distention procedure. Following symptomatic treatment, the patient eventually remained in a stable condition, the digestive tract expansion procedure was not resumed and a jejunostomy was performed in order to facilitate enteral nutrition, which was administered via the jejunum and had little stimulatory effect on the pancreas. Following various treatments, the patient's condition improved markedly, with renal function returning to normal.