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探讨氯化汞制备氧化铝过程中导致汞中毒的原因及临床特点。对10例急性汞中毒患者进行临床观察,观察内容包括症状、体征、尿汞、血常规、尿常规、肝功能、肾功能、酶学(乳酸脱氢酶、肌酸激酶、α-羟丁酸脱氢酶)及X射线胸部正位片改变等。结果表明,10例患者临床表现符合呼吸道侵入的急性汞中毒特点,而非汞的无机化合物中毒特点。实验室检查中,血常规嗜酸粒细胞、酶学等指标增高例数较多。提示,氯化汞制备氧化铝过程中有金属汞产生,可造成急性汞中毒,临床呈亚急性经过,治疗效果满意。
To investigate the causes of mercury poisoning in the process of preparing mercuric chloride and the clinical features. The clinical data of 10 patients with acute mercury poisoning were observed, including symptoms, signs, urinary mercury, blood, urine, liver function, renal function, enzyme (lactate dehydrogenase, creatine kinase, Dehydrogenase) and X-ray chest anteroposterior film changes. The results showed that 10 patients with clinical manifestations of respiratory tract in line with the characteristics of acute mercury poisoning, rather than the characteristics of inorganic mercury poisoning. Laboratory tests, blood eosinophils, enzymes and other indicators increased the number of cases more. Prompt, mercuric chloride in the process of preparing aluminum in the production of metal mercury, can cause acute mercury poisoning, clinical subacute passed, the treatment effect is satisfactory.