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肼(联氨,H_2N—NH_2)是一种挥发性化学脱氧剂,在工业上作为防腐蚀剂被广泛应用,在军事上可做火箭的推进剂。医学上,常用它产生实验动物的惊厥、循环虚脱、肺水肿、低血糖、呕吐、间质性肾炎和肝细胞损害。人慢性接触肼可引起肺炎、肝细胞损害、肾炎和急性肾小管坏死,急性中毒可致上述损害突然发作或昏迷。本文报告一例36岁男性患者,在一次肼容器爆炸时发生烧伤,14小时后出现昏迷,瞳孔散大,对光反应消失。所有反射双侧对称,蹠反射降低,四肢被夹痛后能迅速撒开。腰穿(一);血电解质正常;白细胞16,000/mm~3;血糖155mg%,胸透(一);脑电图呈广泛慢波,右侧更甚。
Hydrazine (hydrazine, H 2 N-NH 2) is a volatile chemical deoxidizer that is widely used as an anti-corrosion agent in the industry and can be used as a rocket propellant in the military. Medically, it is commonly used to produce convulsions, circulatory collapse, pulmonary edema, hypoglycemia, vomiting, interstitial nephritis and hepatocellular damage in experimental animals. Chronic exposure to hydrazine can cause pneumonia, hepatocellular damage, nephritis and acute tubular necrosis, acute poisoning can cause sudden damage or coma. This article reports a 36-year-old male who had a burn in a hydrazine bomb explosion, a coma 14 hours later, a dilated pupil, and a loss of light response. Bilateral symmetry of all reflex, plantar reflex reduction, limbs can be quickly painful after the release of pain. Lumbar wear (a); normal blood electrolytes; leukocytes 16,000 / mm ~ 3; blood glucose 155mg%, chest X-ray (1); EEG was broadly slow wave, the right even more.