救治急性重度氯气中毒22例临床研究  

The Clinical Study of Diagnosis and Therapy to Acute Severe Chlorine Gas Intoxication on 22 Cases

作　　者：王立新[1] 洪永清[1] 

机构地区：[1]江苏淮安市第一人民医院,淮安223300

出　　处：《临床急诊杂志》2006年第5期231-232,共2页Journal of Clinical Emergency

摘　　要：目的分析22例氯气中毒的临床处理,总结认识与体会。方法对于淮安市氯气槽罐车倾翻泄漏,导致氯气中毒患者的临床表现、治疗进行回顾性研究。结果 22例急性重度氯气中毒,其中男性8例,女性14例。所有患者均出现不同程度的呼吸困难,2例出现眼部病变,2例出现心动过速及期前收缩伴或不伴 ST 的改变。所有患者均住院治疗,给予必要的辅助检查,经吸氧、糖皮质激素及呼吸机辅助通气治疗后无1例患者死亡。结论氯气中毒主要损害呼吸系统,其的严重程度与氯气浓度及接触时间有关,及时给予对症治疗可避免其它重要脏器的损伤及患者的死亡。Objective To renew the approach in clinical management of chlorine gas intoxication. Methods A thorough ivestigation of clinical finding and treatment of persons affected acutely by chlorine gas exposure from a chlorine tank in the municipality of Huaian city. Results A retrospective study in the 22 patients who were severity affected by chlorine gas. In this study,8 patients were male and 14 patients were female. In physical examinations,all of the patients had diverse dyspnea. 2 patients had congestion of conjunctiva of eyes,2 patients had tachycardia, extrasystoles and （or） ST depletion.liver and kidney functions were normal, all 22 patients were hospitalized and treated with 02 and steroid. But the therapy was inadequate in severe dyspnea. The pateints needed BiPAP help to breathe. No mortality occurred in all cases. Conclusion In our study, respiratory tract findings were predominant in all of the patients. The severity of chlorine gas intoxication was correlation with concentration and daration. Treatment performed early as possible to avoid further damage of other organs and death of patients.

关 键 词：氯气中毒 临床表现 治疗 

分 类 号：R595[医药卫生—内科学]