摘要
目的:为提高急性毒鼠强中毒的认识和抢救水平.方法:急性毒鼠强中毒患者71例,按职业性接触中毒和非职业性中毒(胃肠道途径)分类,分析救治措施和进行疗效统计.结果:非职业性(胃肠道途径)中毒者多在口服后10min至2h发病,主要表现为头昏、乏力、恶心、呕吐、重症者表现为抽搐(50例)、伴昏迷(23例)、休克(7例)、心律失常(24例)、急性肺水肿(14例)、呼吸衰竭(21例)和咯血(1例),服毒量越多,病情越重,职业中毒者症状均较轻;本组有14例死亡,病死原因均为呼吸衰竭,病死率与服毒量有关,青少年及老年人病死率高于青中年患者.结论:毒鼠强毒性强、可致多器官损害,重症患者病死率高,主要死亡原因为呼吸衰竭,救治过程中应强调早期彻底清除毒物,重症者宜早期予人工支持呼吸.
Aim:To enhance the understanding and improve the treatment of acute tetramine poisoning.Methods:Severty-one cases of professional or no-professional acute tetramine poisoning were studied and the results of treatment analysed. Results: In most cases, The time of onset of symptoms is within 10 min to 2h. Main clinical manifestations are dizziness, weekness, nausea, vomiting,coma(23 cases) ,tonic convulsion(50 cases) ,shock(7cases) ,arrhythmias (24 cases) ,acute pulmonary edema (14 cases) and respiratory failure (21 cases) . There were 14 patients died from respiratory failure.The mortality is high in young and elder patients as well as in those with severe poisoning. Conclusion: Tetramine is a strong poisoning, leading to multiorgan dysfunction. The mortality is high in severe cases and the main cases of death is respiratory failure.
出处
《急诊医学》
CSCD
1998年第4期232-234,共3页