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复合伤害并急性中毒致多器官功能衰竭
Multi-organs Failure Caused by Complex Injuries and Acute Poisoning
【摘要】 本文报告在使用间二硝基苯和氯气的生产过程中发生爆炸,导致多发伤害和急性全身性化学物中毒,5例发生MOF死亡。 间二硝基苯爆炸引起火焰烧伤、热液烫伤及化学烧伤, Ⅱ~Ⅲ度烧伤面积在 15%~26%;爆炸产生冲击波伤害;化学物经呼吸道、创面、皮肤吸收造成急性中毒。发病后3小时即出现呼吸衰竭,其后序贯发生3~6个器官功能衰竭。虽经全力抢救,终因复合伤害、硝基苯化学物直接损伤器官导致悲惨结局。
【Abstract】 Complex injuries and acute systemic chemical poisoning caused by exposure to the explosion during the use of M-dinitrobenzene and chlorine were reported and 5 cases of MOF developed death. The explosion of M-dinitrobenzene could cause flame, hot liquid and chemical burning and its are of Ⅱ-Ⅲ was 15%-26% in common. The explosion could also cause blast wave in imp The chemical intake from respiratory tract, in imp area and skin could cause acute poisoning. The respiratory failure appeared at 3 hours after the exposure and 3-6 organs’ failure would happen sequentially. The patient’ prognosis would be bad because of the complex injuries and direct damage of the nitrobenzol chemicals to the organs.
- 【文献出处】 伤残医学杂志 ,MEDICAL JOURNAL OF TRAUMA AND DISABILITY , 编辑部邮箱 ,2000年01期
- 【分类号】R64
- 【下载频次】13