急性刺激性和窒息性气体中毒特点及疗效观察  

OBSERVATION ON CHARACTERISTICS AND THERAPEUTIC EFFECT OF ACUTE IRRITANT GASES AND ASPHYXIANTS POISONING.

作　　者：杨松涛[1] 宿萍[1] 王仁仪[1] 刘建华[1] 

机构地区：[1]华西医科大学附属第四院,成都610041

出　　处：《现代预防医学》2001年第2期179-181,共3页Modern Preventive Medicine

摘　　要：本文通过 37例急性刺激性气体与窒息性气体中毒临床特点的比较分析 ,发现刺激性气体中毒的呼吸系统症状及 X胸片改变显著高于窒息性气体中毒 (P<0 .0 1或 P<0 .0 5 ) ,而窒息性气体中毒临床表现是以中枢神经系统缺氧症状为主。因此 ,前者须防治肺水肿 ,后者治疗的关键为纠正缺氧。根据中毒特点不同 ,可大致鉴别这两类气体 ,并及时采取相应的治疗措施 。Clinical characteristics of 37 acute irritant gases and asphyxiants poisoning cases are contrasted and analyzed in this article.It found out that the incidence of respiratory system symptoms and chest X ray modifications of acute irritant gases poisoning is statistically higher when compared with clinical characteristics of acute asphyxiants poisoning. (P<0 01,P<0 05).On the other hand,clinical manifestations of asphyxiants poisoning are mainly symptoms of oxygen deficit in central nervous system.Thus,irritant gases poisoning cases should be careful of prevention and treatment of pneumochysis;while critical treatment of asphyxiants poisoning is to provide oxygen.The two kinds of gases can approximately be distinguished according to the difference in poisoning characteristics and then the appropriate treatments could be done in time,which offers guidance for treatments of acute occupational poisoning or internal medicine emergency cases that inhale poisoning gases with unknown characteristics.

关 键 词：刺激性气体 窒息性气体 中毒特点 疗效观察 治疗 

分 类 号：R595.1[医药卫生—内科学]