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我院急诊科于1998年8月23日晚,一次接诊某单位急性食物中毒患者42例,经积极抢救均获痊愈。报道如下。 1临床资料 1.1一般资料 本组患者42例均为男性,年龄20～35岁,平素均健康,中毒者均在单位食堂进餐,1.5～3小时后全部出现中毒症状。 1.2临床表现 42例患者均意识清,脐周阵发性绞痛,频繁呕吐,大便4～10次,呈稀水样,伴头晕无力。体检:平均体温37.5℃,脉搏90次/分,呼吸32次/分,血压105/60mmHg,最低者68/38mmHg均有上腹部及脐周压痛、肠鸣音活跃。 1.3实验室检查 采集呕吐物及食物检出金黄色葡萄球菌。 2抢救经过
Emergency Department of our hospital in the evening of August 23, 1998, an admissions of acute poisoning in a unit of 42 patients with food poisoning, were actively rescued were cured. Reported as follows. 1 Clinical data 1.1 General Information 42 patients in this group were male, aged 20 to 35 years of age, are generally healthy, poisoning were in the canteen meal, 1.5 to 3 hours after all the symptoms of poisoning. 1.2 Clinical manifestations of 42 patients were aware of clear, umbilical paroxysmal colic, frequent vomiting, stool 4 to 10 times, was thin watery, with dizziness. Physical examination: average body temperature 37.5 ℃, pulse 90 beats / min, breathing 32 beats / min, blood pressure 105 / 60mmHg, the lowest 68/38 mmHg have abdominal and umbilical weeks tenderness, bowel sounds active. 1.3 laboratory test vomit collection and food detection of Staphylococcus aureus. 2 after the rescue