{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:DOC-ZKS8IRTN/b37f184f-c0ba-451e-a06f-a1861611c2b4/HTML","dcterms:extent":"28 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:DOC-ZKS8IRTN/bb4b1797-9b8e-4947-8559-9de55f5bcf7d/PDF","dcterms:extent":"112 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:DOC-ZKS8IRTN/18eb3b18-59b6-47f2-bb4a-4e2b48dc85fb/TEXT","dcterms:extent":"22 KB"}],"edm:TimeSpan":{"@rdf:about":"1929-2026","edm:begin":{"@xml:lang":"en","#text":"1929"},"edm:end":{"@xml:lang":"en","#text":"2026"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:DOC-ZKS8IRTN","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/urn:nbn:si:spr-a30mfzkp"},{"@xml:lang":"sl","#text":"Zdravniški vestnik"}],"dcterms:issued":"2003","dc:creator":["Lainščak, Mitja","Mikolič, Rudolf","Petric, Vlasta","Štivan, Franc"],"dc:format":[{"@xml:lang":"sl","#text":"številka:2"},{"@xml:lang":"sl","#text":"letnik:72"},{"@xml:lang":"sl","#text":"str. 59-62"}],"dc:identifier":["ISSN:1318-0347","COBISSID:15956441","URN:URN:NBN:SI:doc-ZKS8IRTN"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"dc:subject":[{"@xml:lang":"en","#text":"Aged"},{"@xml:lang":"en","#text":"Alcohol Drinking"},{"@xml:lang":"en","#text":"Alcohol, Ethyl"},{"@xml:lang":"sl","#text":"Alkohol, pitje"},{"@xml:lang":"en","#text":"Ethylene Glycols"},{"@xml:lang":"sl","#text":"Etilen glikoli"},{"@xml:lang":"sl","#text":"etilenglikol"},{"@xml:lang":"en","#text":"Kidney Failure, Acute"},{"@xml:lang":"sl","#text":"Ledvica, odpoved akutna"},{"@xml:lang":"sl","#text":"ledvice"},{"@xml:lang":"en","#text":"Poisoning"},{"@xml:lang":"sl","#text":"Starostniki"},{"@xml:lang":"sl","#text":"zastrupitve"}],"dcterms:temporal":{"@rdf:resource":"1929-2026"},"dc:title":{"@xml:lang":"sl","#text":"Zastrupitev z etilenglikolom ob hkratnem zaužitju etanola| Ethylene glycol poisoning with concurrent ethanol ingestion|"},"dc:description":[{"@xml:lang":"sl","#text":"Background. Ethylene glycol, usually ingested by coincidence, causes uncommon but serious poisoning which could have fatal consequences without prompt diagnosis and treatment. Ethylene glycol itself has a low toxicity but is rapidly degraded to toxic metabolites, that are responsible for typical clinical presentation. Metabolic acidosis, increased anion and osmolalgap are typical laboratory findings. Application of antidotes ethanol and fomepizol, hemodyalisis and correction of metabolic acidosis are mainstays of therapy. Patients and methods. A case of concurrent ethanol and ethylene glycol ingestion is presented. On admission diagnosis of ethylene glycol poisoning was supported by heteroanamnestic data, typical clinical presentation and laboratory findings and latter confirmed with body fluid analysis. Despite therapy with ethanol, sodium hydrogencarbonate and parenteral hydration patient developed acute renal failure which required hemodyalisis. Conclusions. Concurrent ingestion of spirit improved prognosis of ingestion oflethal ethylene glycol dose. Due to late arrival adequate and immediate in-hospital management could not prevent acute renal failure and subsequent hemodyalisis"},{"@xml:lang":"sl","#text":"Izhodišča. Zastrupitve z etilenglikolom so redke, večinoma nenamerne in brez zdravljenja velikokrat smrtne. Klinična slika je posledica delovanja strupenihrazgradnih produktov razmeroma malo strupenega etilenglikola. Metabolna acidoza in povišani anionska ter osmolalna vrzel so najpomembnejši laboratorijski znaki, zdravljenje pa temelji na čimprejšnjem dajanju antidota etanola alifomepizola, hemodializi in ureditvi kislinsko-baznega ravnotežja. Bolniki in metode. Prikazan je primer bolnice, ki je sočasno zaužila etilenglikol in žgano pijačo. Ob sprejemu so bili ugotov jeni heteroanamnestični podatki ter značilni klinični in laboratorijski znaki zastrupitve z etilenglikolom: Diagnozo smo potrdili z dokazom etilenglikola v telesnih tekočinah. Bolnico smo zdravili z etanolom, natrijevim hidrogenkarbonatom in jo parenteralno hidrirali, vendar je kljub temu prišlo do akutne ledvične odpovedi, zaradi katere smo opravili hemodializo. Zaključki. Sočasno zaužitje žgane pijače je ob zaužitju smrtnega odmerka etilenglikola izboljšalo izid zastrupitve. Kljub ustreznemu in takojšnjemu zdravljenju v bolnišnici je pri bolnici zaradi prepoznega prihoda prišlo do akutne ledvične odpovedi, ki smo jo zdravili s hemodializo"}],"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:DOC-ZKS8IRTN","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:DOC-ZKS8IRTN"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:DOC-ZKS8IRTN/bb4b1797-9b8e-4947-8559-9de55f5bcf7d/PDF"},"edm:rights":{"@rdf:resource":"http://creativecommons.org/licenses/by-nc/4.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:DOC-ZKS8IRTN/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:DOC-ZKS8IRTN"}}}}