Citation

Chao LK, Fang TC. Ci Ji Yi Xue Za Zhi 2016; 28(4): 166-169.

Copyright

(Copyright © 2016, Buddhist Compassion Relief Tzu Chi Foundation, Publisher Wolters Kluwer - Medknow)

DOI

10.1016/j.tcmj.2015.05.005

PMID

unavailable

Abstract

A 30-year-old woman was sent to the emergency room after alcohol and paraquat ingestion. After three sessions of hemoperfusion via the indwelling double-lumen catheter, the patient could tolerate ambient air and her urine output was good. However, on the 10th day of hospitalization, she had a sudden onset of dyspnea and hypoxia. Pulmonary embolism was diagnosed by a computed tomography pulmonary angiogram. The patient recovered after anticoagulation therapy. We could find no reports of dyspnea caused by pulmonary embolism in patients with paraquat intoxication. Here, we present this rare case; the indwelling double-lumen catheter might have been a cause of the pulmonary embolism. © 2016

Language: en

Keywords

adult; human; female; case report; suicide attempt; hospitalization; C reactive protein; paraquat; alcohol consumption; hospital admission; tachycardia; physical examination; patient referral; intensive care unit; emergency ward; lung embolism; activated carbon; ambient air; urinalysis; acute kidney failure; alcohol blood level; alanine aminotransferase; aspartate aminotransferase; creatinine; creatinine blood level; warfarin; metabolic acidosis; dyspnea; electrocardiography; methylprednisolone; hypoxia; thorax radiography; Pulmonary embolism; sinus tachycardia; heparin; Article; hemoperfusion; blood cell count; arterial gas; paraquat poisoning; alanine aminotransferase blood level; aspartate aminotransferase blood level; urine volume; anticoagulant therapy; hypoxemia; computed tomographic angiography; pulse rate; lung injury; arterial oxygen tension; dialysis catheter; central venous catheter; breathing rate; partial thromboplastin time; blood pressure measurement; D dimer; blood oxygen tension; arterial carbon dioxide tension; Paraquat intoxication; indwelling catheter; crackle; catheter thrombosis; double lumen catheter; Double-lumen catheter; estimated glomerular filtration rate; lung angiography; oral eruption; radiation dose fractionation; sake