儿童急性吸入磷化铝中毒24例临床分析  

Clinical analysis of 24 cases of children with acute aluminium phosphide inhalation poisoning

作　　者：戴红臣[1] 都鹏飞[2] DAI Hongchen;DU Pengfei(Department of Pediatrics,Fuyang People＇s Hospital,Fuyang,Anhui 236000,China;Department of Pediatrics,The Second Affiliated Hospital of Anhui Medical University,Hefei,Anhui 230601,China)

机构地区：[1]阜阳市人民医院儿科,安徽阜阳236000 [2]安徽医科大学第二附属医院儿科,安徽合肥230601

出　　处：《安徽医药》2018年第9期1737-1739,共3页Anhui Medical and Pharmaceutical Journal

摘　　要：目的观察并探讨儿童急性磷化铝中毒患儿的临床表现、治疗方法、疗效及死亡原因。方法对阜阳市人民医院儿科2014—2016年收治的24例呼吸道吸入磷化铝中毒患儿的情况进行分析。结果患儿结局存活20例,死亡4例,死亡患儿均为重度中毒,死亡时间为入院后0.5~3.5 h,死亡原因为中毒性休克导致呼吸循环衰竭。结论急性磷化铝中毒病死率高,有效预防,早期发现及时救治更重要。Objective To observe and discuss the clinical signs,treatment,prognosis and causes of death in children with acute aluminium phosphide poisoning. Methods A total of 24 cases of aluminium phosphide poisoned children via respiratory inhalation,which were admitted to Fuyang people＇s Hospital of pediatrics during 2014-2016,were analyzed. Results Among the 24 cases in this study,20 patients survived and 4 patients died. All 4 died patients showed clinical signs of severe poisoning. The death time was between0. 5-3. 5 hours after hospital admission. The cause of death was toxic shock leading to respiratory failure. Conclusion Acute aluminium phosphide poisoning in children showed high fatality rate. Effective prevention,early diagnosis and timely treatment are crucial in reducing fatality rate of this disease.

关 键 词：磷化铝 中毒 中毒性休克 儿童 

分 类 号：R725.9[医药卫生—儿科]