A rare clinical case of household gas leak leading to severe asphixia
- 作者: Kryukov E.1, Gaiduk S.1, Goverdovskiy Y.1, Kuzmich V.1, Bogomolov A.1, Shapovalov I.1, Mihailov A.1, Lyanginen T.1, Vlasov S.1, Ivanov A.2
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隶属关系:
- Military Medical Academy of S.M. Kirov
- Branch № 4 of the 419nd Military clinical hospital
- 期: 卷 24, 编号 3 (2022)
- 页面: 521-528
- 栏目: Case report
- URL: https://journals.rcsi.science/1682-7392/article/view/107669
- DOI: https://doi.org/10.17816/brmma107669
- ID: 107669
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详细
A rare case of severe asphyxia in a young patient due to household gas leakage WAS presented. The patient was found in an unconscious state with signs of respiratory failure at home, requiring respiratory support at the prehospital stage. The patient had a picture of damage to the circulatory organs with the development of acute myocardial ischemia without damage and reactive hydropericardium, respiratory organs in the form of hypoxic pulmonary edema, complicated by the development of bilateral community-acquired pneumonia, hydrothorax and severe respiratory failure, damage to the nervous system with the development of hypoxic encephalopathy with loss of consciousness and bilateral pyramidal syndrome, digestive organs with the development of reactive posthypoxic hepatopathy. Upon admission to the clinic of the field therapy of the Military Medical Academy of S.M. Kirov, which required hospitalization of the patient in the intensive care unit. It was possible to fully stop severe multiple organ damage that developed as a result of acute hypoxic exposure as a result of the complex treatment. This clinical case clearly demonstrates the importance of emergency, systematic and full-fledged intensive care at all stages of providing care to people with acute hypoxic lesions of organs and systems, including severe community-acquired pneumonia and hypoxic myocardial dystrophy. The influence of the early intensive care initiation and timely evacuation at the stage of qualified and specialized medical care on the effectiveness of therapeutic measures is discussed as this plays a fundamental role in the survival of this category of patients. In general, with timely and full-fledged therapeutic measure implementation aimed at treating complications, even severe acute hypoxic organs lesions and systems are reversible, although this may require long-term inpatient treatment and rehabilitation measures in a military sanatorium-resort organization condition of a therapeutic profile, as well as conducting a military medical examination to establish the fitness category for further military service.
作者简介
Evgeniy Kryukov
Military Medical Academy of S.M. Kirov
Email: evgeniy.md@mail.ru
ORCID iD: 0000-0002-8396-1936
SPIN 代码: 3900-3441
Scopus 作者 ID: 57208311867
Researcher ID: AAO-9491-2020
Doctor of Medical Sciences, Professor
俄罗斯联邦, Saint PetersburgSergey Gaiduk
Military Medical Academy of S.M. Kirov
Email: gaiduksergey@mail.ru
ORCID iD: 0000-0003-1524-9493
SPIN 代码: 8602-4922
Doctor of Medical Sciences, Associate Professor
俄罗斯联邦, Saint PetersburgYuriy Goverdovskiy
Military Medical Academy of S.M. Kirov
Email: goverdoc@yandex.ru
ORCID iD: 0000-0003-1241-9725
SPIN 代码: 2605-7097
Doctor of Medical Sciences
俄罗斯联邦, Saint PetersburgVladimir Kuzmich
Military Medical Academy of S.M. Kirov
Email: q-zmich1978@mail.ru
ORCID iD: 0000-0001-7754-3634
SPIN 代码: 7135-6357
Candidate of Medical Sciences
俄罗斯联邦, Saint PetersburgAlexey Bogomolov
Military Medical Academy of S.M. Kirov
Email: Bg-ab@mail.ru
ORCID iD: 0000-0002-6110-1097
SPIN 代码: 4175-2774
Candidate of Medical Sciences
俄罗斯联邦, Saint PetersburgIlya Shapovalov
Military Medical Academy of S.M. Kirov
编辑信件的主要联系方式.
Email: ilshapovalov@yandex.ru
ORCID iD: 0000-0001-7986-3359
SPIN 代码: 9775-9491
Adjunct
俄罗斯联邦, Saint PetersburgAlexey Mihailov
Military Medical Academy of S.M. Kirov
Email: auri8@mail.ru
ORCID iD: 0000-0001-5656-2764
SPIN 代码: 3957-6107
Adjunct
俄罗斯联邦, Saint PetersburgTimofey Lyanginen
Military Medical Academy of S.M. Kirov
Email: finn_off@mail.ru
ORCID iD: 0000-0003-3816-9242
SPIN 代码: 3494-6532
Candidate of Medical Sciences
俄罗斯联邦, Saint PetersburgStanislav Vlasov
Military Medical Academy of S.M. Kirov
Email: vlasovstass@mail.ru
ORCID iD: 0000-0003-3407-1096
Candidate of Medical Sciences
俄罗斯联邦, Saint PetersburgArtem Ivanov
Branch № 4 of the 419nd Military clinical hospital
Email: rusfanstar@mail.ru
ORCID iD: 0000-0003-1009-6096
Resident
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