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75例急性硫化氢中毒病例分析

Analysis of 75 cases of acute H2S poisoning

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【摘要】 从75例急性H2S中毒患者的临床表现可分三种类型,即:接触低浓度可有轻度中毒症;接触高浓度可出现突发式昏迷;接触极高浓度时,可发生“电击样”死亡,如抢救及时,可救活部分患者。对急性H2S中毒的处理原则和后遗症等问题还进行了讨论。

【Abstract】 75 cases of acute H2S poisoning were analysed. The CNS and mucosa of eyes and respiratory truct were invovled. Three types of clinical manifestations can be observed according to exposure concentration. When the patients were exposed tol ow-lever of H2S. They suffered from vertigo, headache, cough, and the eyes and respiratory truct irritated; while exposurec to high concentrations caused coma suddenly, at the same time may accompanied with vomiting excited, convulsion, dyspnea. In laboratory exmination neutrocytosis andhigh levels of S-GPT were observed.The extrem ely high concentrations of H2S caused death as "electrocute". If treatment was in time some patients can be cured. The sequela and delayed symptom as well as principles of acute H2S poisoning management were discussed.

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