C. BOR, İ. ÇANKAYALI, K. DEMİRAĞ, M. UYAR

Uykuya eğilimli hastada akut batın; İntoksikasyon olmasın!

Organik fosfatlı bileşikler tarım alanında gelişmiş ve gelişmekte olan ülkelerde yaygın olarak kullanılmaktadır. Organafosfat intoksikasyonlarında otonomik, santral ve periferik sinirlerde kolinerjik krize bağlı klinik bulgular görülmektedir. Appendektomi uygulanan olgumuzda postoperatif izlemi ve anamnezinin derinleştirilmesi sonucunda organik fosfor intoksikasyonu olduğu anlaşılmıştır. Bilinç uykuya eğilimli acil akut batın operasyonu düşünülen olgularda intoksikasyonun akla gelmesini vurgulamak amacıyla bu vakanın yayınlaması uygun bulunmuştur.

Acute abdominal surgery in a somnolence patient; Dont let it be!

Organophosphates are extensively used in agriculturally developed and developing countries. Intoxication with organophosphate is characterised by the clinical picture of an acute cholinergic crisis in the autonomic, somatic and central nervous systems. After an appendectomy surgery, and during careful questioning, organophosphate intoxication was diagnosed. The presentation of this case is to emphasize the possibility of intoxication in a patient with somnolence and who was to undergo an acute abdomen operation.

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