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急性砷化氢中毒多有腹痛、血尿与黄疸,严重病例并发肾功能衰竭,酷似内科疾患,易致延误诊断与治疗。现将我所收治一例致死病例及其抢救经过报道如下: 陈××,男性、46岁,某有色金属冶炼厂工人,因骤起腹痛、呕吐、血尿四天、尿闭二天,由当地医院转入本所。患者参加冶炼工仅二个月,该厂新近采用炼锡厂含砷3～4％的烟囱尘生产硫酸锌。1984年10月28日上午9时半,先后在两大罐含有砷与过量硫酸的浸出液中,开放式投入锌粉,并使用机械搅拌。当即有大量含有砷化氢气体的黑色泡沫释放,具有明显的大蒜样气味,患者在车间工作至11时,投放锌粉20分钟。
Acute arsine poisoning and more abdominal pain, hematuria and jaundice, severe cases of renal failure, resembles medical conditions, easy to cause delay diagnosis and treatment. Now I have received a case of death and its rescue reported as follows: Chen × ×, male, 46 years old, a non-ferrous metal smelter workers, due to sudden abdominal pain, vomiting, hematuria for four days, urine closed for two days, from the local hospital transfer Into the stock. Only two months to participate in the smelting of patients, the plant recently adopted a tin smelter 3 ~ 4% arsenic dust production of zinc sulfate. Oct. 28, 1984, at 9:30 AM, zinc powder was put into the leachate containing arsenic and excess sulfuric acid in two cans successively and mechanically stirred. Immediately, a large amount of black foam containing arsine gas was released with a clear garlic-like odor. The patient dropped zinc powder for 20 minutes while working in the workshop until 11 o’clock.