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硝酸在工业上应用极广,若防护不善,吸入其蒸气稍多,常导致急性肺水肿发生,危及工人健康及生命。我院曾遇4例,临床症状典型,肺部体征明显,经积极抢救,皆未造成严重后果而痊愈出院。现报告其中1例,作为借鉴。袁××,男,39岁,住院号76543。患者子1976年5月9日上午10时左右,在通风不良环境中进行酸洗作业,原料为发烟硝酸,肉眼可见其烟雾为棕黄色(未测定当时车间硝酸烟雾之浓度),约工作20余分钟后,即有呼吸道刺激感、咳嗽、头晕,下午即发热、恶心、呕吐,头晕加重,经车间保健站一般治疗(镇静、止吐及补液等)后病势未减,并伴有憋
Nitric acid is widely used in industry. If it is not properly protected, inhaling its vapor slightly will often cause acute pulmonary edema and endanger the health and life of workers. Our hospital had 4 cases, the typical clinical symptoms, lung signs were significantly, after active rescue, have not caused serious consequences and healed discharged. Now report one of them, as a reference. Yuan × ×, male, 39 years old, hospital number 76543. The patient was acid-washed in a poorly ventilated environment at around 10:00 am on May 9, 1976. The raw material was fuming nitric acid. The naked eye could see the smoke was brown-yellow (the concentration of nitric acid smog in the workshop was not measured) After a few minutes, there are respiratory irritation, coughing, dizziness, afternoon fever, nausea, vomiting, dizziness, after the workshop health station general treatment (sedation, antiemetic and rehydration, etc.)