Abstract
According to the Registry of Toxic Effects of Chemical Substances (1985), the lowest lethal acute oral dose of BaCl2 is 11.4 mg/kg body weight, and a dose as low as 5.8 mg/kg body weight causes flaccid paralysis, paresthesia, and muscle weakness. Approximately 2 h later, the patient became unconscious with shortness of breath, nodding, cyanosis, and profuse facial sweating. Because muscle paralysis leads to respiratory failure, emergency tracheal intubation was performed, and ventilator-assisted breathing was initiated. According to the US CDC, a suspicious dietary history and profound hypokalemia associated with generalized muscle weakness are key indicators of barium poisoning.
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1 Department of Critical Care Medicine, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian 350000, China
2 Department of Critical Care Medicine, Ningde Hospital Affiliated to Fujian Medical University, Ningde, Fujian 352000, China
3 Department of Critical Care Medicine, Gutian County Hospital of Fujian Province, Ningde, Fujian 352000, China