论文部分内容阅读
1 中毒病例资料1.1 中毒经过 林某,男,59岁,粮库保管员。因进行磷化铝薰蒸杀虫,于容积432 m~3麦仓投放磷化铝2 kg并加盖塑料薄膜密闭48 h后开仓入内清扫未径通风亦未戴防护面具。2 h后觉头昏、头痛、恶心、呕吐,视物模糊、心慌、胸闷、大汗淋漓、全身无力、步态不稳、蹒跚,回家后上述症状加重,并出现昏迷,大小便失禁。经当地医院抢救病情缓解,3d后以“头昏头痛”转我站职防科诊治。患者既往身体健康,无心、脑血管病史及中毒史。1.2 查体 T 37.3 ℃、P 72次/min、R 20次/min、BP 14/10 kPa。急性病容,神志清楚,精神萎糜,皮肤湿冷,浅表淋巴结不大;双
1 poisoning case data 1.1 poisoning after Lin, male, 59 years old, grain depositors. Due to the aluminum phosphide fumigation insecticide, the volume of 432 m ~ 3 wheat warehouse put aluminum phosphate 2 kg and affixed plastic film sealed for 48 h after the opening into the house without cleaning ventilation ventilation nor wearing protective masks. 2 hours later dizziness, headache, nausea, vomiting, blurred vision, palpitation, chest tightness, sweating, general weakness, unsteady gait, staggering, the symptoms worsened after returning home, and coma, incontinence. Rescued by the local hospital to ease the disease, 3d after the “dizzy headache” turn me to stop station treatment. Past patient’s health, inadvertently, history of cerebrovascular disease and history of poisoning. 1.2 physical examination T 37.3 ℃, P 72 times / min, R 20 times / min, BP 14/10 kPa. Acute illness, conscious, spiritual wilt, cold and wet skin, superficial lymph nodes is not; double