三氯乙烯中毒1例死亡的调查分析

Investigation of a Death Case of Trichloroethylene Poisoning

目的探讨三氯乙烯中毒病例的主要临床表现并分析其死亡原因。方法测定患者的工作场所空气中三氯乙烯浓度,调查病人的主要症状与体征,对病人进行血常规、尿常规和肝功能检查。结果三氯乙烯中毒病人出现皮肤红斑、皮疹、巩膜黄染、肝肿大、肝功能明显异常,ALT 538 U/L,AST 426.7 U/L,T-B IL 219μmol/L,患者因昏迷、呼吸心跳停止而死亡。结论三氯乙烯中毒主要引起皮肤和肝脏损害,病情进展迅速,治疗不及时或治疗不当易导致死亡。

[ Objective] To explore the major clinical manifestations of trichloroethylene poisoning and analyze the causes for death. [ Methods] Trichloroethylene coneentration in the workplace air was determined; examination was done on the patient＇s symptoms, signs, regular blood test, regular urine test and liver function. [ Results ] Trichloroethylene - poisoned patients were found with red specks, skin rash, yellow sclera, enlarged liver and abnormal liver function; ALT 538 U/L, AST 426.7 U/L, T - BIL 219 mol/L, and finally died of coma, respiration failure and heart failure. [ Conclusion ] Trichloroethylene poisoning mainly causes skin and liver damages, deteriorates rapidly and might causes death in case of improper treatment.