Application of Hemodialysis in Rescuing Patients with Lithium Carbonate Poisoning

Abstract

Purpose: Lithium carbonate, as a first-line mood stabilizer, is widely used in clinical practice, but its safety range is narrow, and its toxic dose is very close to the therapeutic dose We successfully saved the life of a patient with lithium carbonate poisoning by using hemodialysis method and reduced the side effects of lithium carbonate poisoning. Methods: The patient is a 42-year-old man. He was admitted to hospital because of "speech disorder, unsteady walking, incontinence of bowel and stool for 1 day". During this process, we used hemodialysis therapy. Results: After 11 days therapy, the patient was able to speak fluently and move moderately with help. After 22 days therapy, the patient was able to walk almost independently, and the blood lithium-ion level returned to normal. Conclusion: This paper reports the treatment of a case of lithium carbonate poisoning due to s aphasia, unsteady walking, fecal and urinary incontinence, providing reference for the clinical diagnosis and treatment of chronic poisoning with lithium carbonate drugs whose toxic dose is similar to the therapeutic dose for a long time.