一起职业性急性硫化氢中毒的调查  

An investigation of an accident of occupational acute hydrogen sulfide poisoning

作　　者：张忠臣[1] 刘继玲[2] 菅向东[1] 王珂[1,3] 贾俊娥 

机构地区：[1]山东大学齐鲁医院急诊科中毒与职业病科,济南250012 [2]山东大学齐鲁医院儿科,济南250012 [3]山东大学齐鲁医院公共卫生学院,济南250012

出　　处：《中华劳动卫生职业病杂志》2017年第7期521-522,共2页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：2012年国家临床重点专科建设项目（2012650）;泰山学者建设工程专项经费项目（ts20130911）;山东省医药卫生重点实验室（鲁卫科教国合字[2013]49号）

摘　　要：目的对一起职业性急性硫化氢中毒事件的进行调查并对临床资料进行分析。方法对2016年7月山东某地发生的一起职业性急性硫化氢中毒事件进行调查，同时对其临床资料进行总结。结果本事件是一起典型的职业性急性硫化氢中毒事件，缺乏职业防护、违规作业是事故发生主要原因。5例患者中4例发生昏迷、中毒性脑病及呼吸衰竭，1例患者经过长期治疗后呈皮层综合征状态，7个月后死于肺部感染，其余4例治愈。结论对职业性急性硫化氢中毒，实施救助者必须在确保自身安全的情况下，合理救护中毒者。Objective To investigate an accident of occupational acute hydrogen sulfide poisoning, and to analyze related clinical data. Methods An investigation was performed for an accident of occupational acute hydrogen sulfide poisoning in a place in Shandong, China, in July 2016, and related clinical data were summarized. Results This was a typical accident of occupational acute hydrogen sulfide poisoning, and a lack of occupational protection and illegal operation were the major causes of this accident. Of all five patients, four experienced coma, toxic encephalopathy, and respiratory failure and were cured at last, and one had cortical syndrome after long-te, rm treatment and died of pulmonary infection seven months later. Conclusions In case of occupational achte hydrogen sulfide poisoning, rescuers should help the persons who are poisoned reasonably and meanwhile ensure their own safety.

关 键 词：硫化氢 中毒 数据收集 

分 类 号：R135.1[医药卫生—劳动卫生]