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男子误喝假酒甲醇中毒 医生让他喝60度真酒解毒

2017-08-10 08:07:50   重庆晨报

因为中毒严重,医生采用透析治疗清除血液中的甲醇时,让傅国林一边透析,一边喝酒,并配合药物治疗。

考虑到透析会带走乙醇(真酒)中的解毒成分,做透析时,医生们每小时让傅国林喝35ml白酒,平时每小时喝15-20ml白酒。从4日至昨天,傅国林已经喝了近两斤白酒,24小时不间断。

到昨日上午,傅国林血液中的甲醇含量从此前的487mg/L降到了4.6mg/L,他已经可以出院了。

解释“真酒”能解“假酒”

“真酒”真能解“假酒”?

重庆医科大学附属第二医院急救部主治医师方艳介绍,这也是他们科室大约20年来首例“口服乙醇疗法”案例,但用真酒解假酒,答案是肯定的。

这是因为,甲醇中毒一般最常见的原因,主要为误服假酒,或是服用工业用酒精而引起的中毒。

甲醇本身是无毒的,但甲醇经人体代谢,在脱氢酶的作用下会产生甲醛和甲酸,对人体产生伤害。而乙醇(真酒)同样可以在脱氢酶的作用下,产生乙醛和乙酸。相比甲醇,乙醇与脱氢酶作用能力更强。

所以真酒喝下去后,酒里的乙醇就会和血液中的甲醇产生竞争,竞争的结果就是甲醇不会再和脱氢酶产生作用,达到解毒的作用。

甲醇中毒可马上喝下高度真酒

■医生提醒

方艳医生提醒,甲醇经人体代谢产生甲醛和甲酸,会对人体神经系统、视神经产生伤害。严重者甚至会失明或死亡。而甲酸进入血液后,导致代谢性中毒,造成人体内环境紊乱。

市民在饮酒时,应注意不要随便饮用来源不明的酒;喝酒前先闻及小口品尝味道,有任何异味则不要喝;喝酒后有任何与以往不同的感觉及异状,要立即就医。而一旦确认甲醇中毒,或有任何疑似甲醇中毒的症状,如头痛、恶心、呕吐、腹痛、尤其是视力模糊等症状,应该立即就医。

那么,市民误喝甲醇中毒,是否也能采取口服乙醇疗法?

方艳医生介绍,在就医前,为了及时治疗甲醇的毒性,应马上喝下高度真酒(乙醇)当做解毒剂。采用这种方法,需要每小时服用一次,每次大约30ml,开始的时候可以多喝一些。

本报记者顾晓娟

责任编辑:刘敏丹 CN012
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