职业性急性丙烯腈中毒的临床分析  

Clinical analysis of occupational acute acrylonitrile poisoning

作　　者：刘瑞莹[1] 

机构地区：[1]辽宁省鞍山市职业病防治院,辽宁鞍山114014

出　　处：《中国医药导报》2013年第8期63-64,67,共3页China Medical Herald

摘　　要：目的分析职业性急性丙烯腈(AANP)中毒的原因及临床表现,探讨有效治疗职业性AANP中毒的措施及疗效。方法回顾性分析2009年2月～2011年2月102例来鞍山市职业病防治院的AANP中毒患者的临床治疗资料。结果轻、重度中毒患者使用亚硝酸异戊酯吸入,静注硫代硫酸钠方法,不同的方案治疗效果存在差异,其中"亚硝酸异戊酯吸入,静注50%硫代硫酸钠60 mL"治疗方案无论对于轻度中毒患者还是重度中毒患者的治疗效果均超过90%,可作为急性丙烯腈中毒的首选治疗方案。结论职业性AANP中毒的临床研究,对于该病的及时治疗具有着重要的临床意义。Objective To analyze the causes and clinical manifestations of occupation acute acrylonitrile（AANP） poisoning and to explore the effective treatment and measures.Methods Retrospectively analyzed the clinical and therapeutic data of 102 patients from February 2009 to February 2011 who came to Anshan Vocational Disease Prevention and Treatment Center for acute acrylonitrile poisoning treatment.Results There was different clinic effects between the mild,severe poisoning patients who used inhalation of amyl nitrite,intravenous sodium thiosulfate method to treat AANP;The treatment effects of the progrom that ＂amyl nitrite inhalation,injection of 50% sodium thiosulfate 60 mL ＂ were more than 90% for both mild poisoning and severe poisoning patients,and it could be used as the preferred treatment for acute acrylonitrile poisoning.Conclusion The clinic analysis of AANP is significant for the timely treatment.

关 键 词：职业性 丙烯腈 中毒 

分 类 号：R595[医药卫生—内科学]