氟乙酰胺中毒35例救治体会

Rescue experiences of 35 cases of fluoroacetamide poisoning

目的总结氟乙酰胺中毒临床救治经验,提高救治水平。方法对35例氟乙酰胺中毒患者的临床资料进行回顾性分析。结果 35例患者入院时均已处于昏迷、频繁抽搐、呼吸衰竭和休克状态,经紧急救治,治愈出院33例(94.3%),死亡2例(5.7%)。结论早期确诊、及时清除毒物和使用特效解毒剂、控制抽搐及脑水肿、针对性地处理呼吸衰竭是氟乙酰胺中毒救治成功的关键。

Objective To summarize the clinical rescue experience of fluoroaeetamide poisoning patients. Methods Clinical data of 35 eases of fluoroaeetamide poisoning were analyzed retrospectively. Results Thirty-three eases were cured（94. 3% ） and 2 eases died（5.7% ）. The two death patients were in the state of coma, frequent convulsion, respiratory failure and shock on admission. Conclusion Early eomfirming diagnosis, prompt cleaning poison and using specific antitoxieagents are the key to rescuing fluoroaeetamide poisoning patients successfully.