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1 病例报告 例1:男,4岁,主因呕吐、黄疸4天,伴意识模糊2天于1993年12月30日以氰化物中毒收入院。病前1个月始,患儿家隔壁利用氰化法选金,与居室无隔绝设施。发病当日晨起,患儿突然出现频繁呕吐,非喷射性,吐物为黄色水样物,伴阵发脐周腹痛,无腹泻。病后第2天,出现酱油色尿,尿量减少,24小时约500ml持续2天。精神差,头痛乏力,意识模糊,曾在当地医院以“一氧化碳中毒”治疗3天,病情迅速加重。病前身体健康,否认药物及有毒食物接触史。查体:体温37.2℃,脉搏140次/分,呼吸36次/分,血压11/7kPa,谵妄,全身皮肤粘膜灰黄色,口唇指甲灰紫色,巩膜黄染,双肺呼吸音粗糙,心率140次/分,律不齐,心音有力,心尖部可闻及Ⅱ级收缩期吹风样杂音,
Case report 1: Male, 4 years old, mainly due to vomiting, jaundice 4 days, with confusion 2 days in December 30, 1993 to cyanide poisoning hospital. 1 month before the illness, children next door using cyanide method of gold, and no isolation facilities. On the morning of onset, children suddenly vomited suddenly, non-jet, spit yellow water samples, accompanied by haircut umbilical abdominal pain, no diarrhea. On the second day after the illness, soy sauce color urine appears, urine output decreased, about 500ml 24 hours for 2 days. Poor spirits, headache fatigue, confusion, had a local hospital with “carbon monoxide poisoning” for 3 days, the condition rapidly aggravated. Premorbid physical health, denied the history of drug and toxic food exposure. Examination: body temperature 37.2 ℃, pulse 140 beats / min, breathing 36 beats / min, blood pressure 11 / 7kPa, delirium, systemic skin mucosa gray yellow, lip nail purple gray sclera yellow stained lung breath sounds rough heart rate 140 / Points, irregular laws, strong heart sounds, apex can be heard and Ⅱ grade systolic hair-like noise,