摘要
患者男性,26岁,因液氨钢瓶爆裂,吸入氨气中毒昏迷。胸部X线片示:两肺见散在片状模糊阴影;心酶谱检查结果显示:乳酸脱氢酶1193U/L、肌酸激酶1408U/L,肌酸激酶同工酶CK-MB 62U/L,提示出现中毒性心肌损伤。经对症处理、维持气道通畅、纤维支气管镜肺灌洗等治疗后,患者痊愈出院,经随访无后遗症。提示,应当及早预防氨中毒,一旦发生氨中毒,则应及时予以检查,对症救治,谨防心肌损伤。
A male worker, 26 years old, was reported coma with ammonia inhalation due to explosion of a liquid ammonia steel canister. The chest X-ray images revealed scattered patchy shadows in both lungs. The significantly higher levels of lactate dehydrogenase (1 193 U/L), creatine kinase (1408 U/L), and creatine kinase isoenzyme CK-MB (62 U/L) indicated toxic myocardial damage. After treated with mechanical ventilation and lung lavage by hronchoscopy, the patient was recovered and discharged. No further symptom or sign was found in the follow-up visit. It is imperative that employers and employees should take appropriate measures to prevent ammonia intoxication in good time and receive promptly treatment to prevent myocardial damage.
出处
《环境与职业医学》
CAS
北大核心
2013年第5期386-387,共2页
Journal of Environmental and Occupational Medicine
关键词
氨气
中毒
心脏损害
ammonia
poisoning
myocardial damage