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急性光气中毒肺损伤的诊治分析 被引量:6

Diagnosis and Therapy of Lung Injury Induced by Acute Phosgene Poisoning
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摘要 目的:探讨急性光气中毒肺损伤的临床表现与诊治。方法:对11例急性光气中毒患者肺部损伤后的临床症状、体征、动脉血气变化和影像学表现等临床资料进行回顾分析。结果:本组患者经以糖皮质激素为主的综合治疗后,临床症状及体征迅速改善,动脉血气恢复正常,肺部的影像学变化明显好转。结论:急性光气中毒主要引起急性肺损伤,通过以糖皮质激素为主的综合治疗,可以在短时间内痊愈。 Objective: To explore clinical manifestation and remedy of lung injury induced by acute phosgene poisoning. Method: The medical records of 11 patients, with the diagnosis of lung injury induced by acute phosgene poisoning, were retrospectively analyzed with respect to the clinical symptoms, signs, the changes of arterial blood gas and lung imaging and so on. Result: By combination treatment mainly included glucocorticosteroid, the patients' clinical symptoms and signs amend quickly, arterial blood gas returned normal and changes of lung imaging improved obviously. Conclusion : Acute phosgene poisoning cause acute lung injury principally, it can be healed in short time by combination treatment mainly included glucocorticosteroid.
作者 张群
出处 《河北医学》 CAS 2007年第11期1318-1320,共3页 Hebei Medicine
关键词 光气 急性中毒 急性肺损伤 Phosgene Acute poisoning Acute lung injury
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参考文献4

  • 1Sciuto AM, Hurt HH. Therapeutic treatments of phosgene - induced lung injury [ J ]. Inhal Toxicol,2004,16(8) :565 -580.
  • 2Borak J , Diller WF. Phosgene exposure : Mechanisms of injury and treatment strategies [ J ]. Occup Environ Med , 2001 ,43(2) :110-119.
  • 3任引津.急性化学物质中毒所致成人呼吸窘迫综合征[J].中华内科杂志,1994,33(9):636-638. 被引量:11
  • 4Parkhouse DA, Brown RF, Jugg BJ, et al. Protective ventilation strategies in the management of phosgeneinduced acute lung injury [ J ]. Mil Med,2007,172 (3) :295 -300.

二级参考文献1

  • 1任引津.急性刺激性气体中毒性肺水肿——第二届职业病学组学术交流会总结发言之三[J]中国工业医学杂志,1988(01).

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