职业性急性氮氧化物中毒5例临床分析

Clinical Analysis of 5 Cases of Occupational Acute Nitrogen Oxides Poisoning

目的分析5例吸入井下炮烟致急性化学性肺水肿的起因、经过及救治效果。方法按急性氮氧化物中毒给予吸氧、大剂量糖皮质激素、莨菪碱类药等综合治疗。结果5例出现急性肺水肿,2例出现急性呼吸衰竭,经抢救均治愈。结论炮烟中含刺激性气体氮氧化物,吸入后可发生急性化学性肺炎、肺水肿、急性呼吸衰竭,应及时救治。

[ Objective ] To analyze the cause, process and treatment effect for 5 cases of acute chemical pulmonary edema induced by inhaling gunpowder in mine. [ Methods ] Combined treatment such as oxygen inhalation, large dosage of glucocorticord and hyoscyamine were carried out on the acute nitrogen oxides poisoned patients. [ Results] 5 patients suffered from acute pulmonary edema and 2 suffered from acute respiratory failure, all of them were cured through first aid. [ Conclusion] The gunpowder contains irritant gases nitrogen oxides, which might induce acute chemical pneumonia, pulmonary edema and respiratory failure; prompt cure should be given.