急性氯化氢吸入中毒5例临床分析  

Clinical analysis of 5 cases of acute poisoning by inhalation of hydrochlogen chloride

作　　者：夏梦玲 楼雅芳 马文江[2] Xia Mengling;Lou Yafang;Ma Wenjiang(Department of Pulmonary Medicine,Hangzhou Hospital of Traditional Chinese Medicine,Hangzhou 310007,China;Pulmonary and Critical Care Medicine,the First Affiliated Hospital of Zhejiang University,Hangzhou 310003,China)

机构地区：[1]杭州市中医院(浙江中医药大学附属广兴医院)呼吸内科,310007 [2]浙江大学医学院附属第一医院呼吸与危重症医学科,杭州310003

出　　处：《中华劳动卫生职业病杂志》2019年第11期855-857,共3页Chinese Journal of Industrial Hygiene and Occupational Diseases

摘　　要：目的分析吸入盐酸(Hydrochloric acid,HCl)烟雾中毒病例的临床特点,提高对该病的诊治水平。方法2019年3月回顾分析我院2018年7月6日至2018年7月9日收治的5例吸入氯化氢吸入致中毒病例临床资料,对其临床表现、影像学特征、诊断、治疗及预后进行总结。结果5例患者中,2例诊断为重度中毒,3例为中度中毒。5例均予糖皮质激素及对症支持治疗,其中1例予静脉-静脉体外膜肺氧合(Venovenous extracorporeal membrane oxygenation,VV-ECMO)治疗,所有患者均痊愈出院。结论吸入盐酸烟雾中毒患者肺部损害可在短期内明显进展,早期发现、及时就医可获得较好预后。Objective To analyze the clinical characteristics caused by acute poisoning by inhalation of hydrogen chloride(HCl)and to raise awareness and treatment level of the disease.Methods The clinical manifestations,imaging features,diagnosis,treatment and prognosis of 5 patients with acute HCl poisoning were analyzed retrospectively.Results Among the 5 cases of HCl poisoning,2 cases were severe poisoning,3 cases were moderate poisoning.All patients were treated with corticosteroids and symptomatic treatment,one of them was treated with venovenous extracorporeal membrane oxygenation(VV-ECMO).All patients were recovered and discharged from hospital.Conclusion The lung damage of acute poisoning by inhalation of HCl is rapidly progressing,early detection and timely medical treatment can obtain a better prognosis.

关 键 词：盐酸 体外膜肺氧合 糖皮质激素 

分 类 号：R47[医药卫生—护理学]