急性甲苯和二甲苯及乙苯中毒后遗症1例  

Acute toluene,xylene and ethylbenzene poisoning leads to neurological sequelae:a case report

作　　者：曹艳梅[1] 蒋欣宇 闵春燕[1] 刘杰[1] Cao Yanmei;Jiang Xinyu;Min Chunyan;Liu Jie(Department of Occupational Disease,the Fifth People's Hospital of Suzhou,Suzhou 215137,China)

机构地区：[1]苏州市第五人民医院职业病科,苏州215137

出　　处：《中华劳动卫生职业病杂志》2022年第7期532-534,共3页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：苏州市职业病专家团队项目 (SZYJTD201904)。

摘　　要：本文报道1例职业性接触甲苯、二甲苯、乙苯3 d后中毒病例。患者以意识障碍为主要临床表现,经脱水、醒脑、抗癫痫及抗肌阵挛等治疗后,长期遗留有继发性癫痫及小脑共济失调。根据标准诊断患者为职业性急性化学物中毒(重度)、职业性急性化学物中毒后遗症。提示临床应加强对苯类化合物中毒的认识,早诊断、早治疗,以改善患者预后。This article reports a poisoning case after occupational exposure to toluene,xylene,and ethylbenzene for 3 days.The main clinical manifestation of the patient was consciousness disorder.After dehydration,cerebral awakening,anti-epileptic and anti-myoclonic treatment,the patient had secondary epilepsy and cerebellar ataxia for a long time.According to diagnostic criteria,the patient was diagnosed with occupational acute chemical poisoning(severe),occupational acute chemical poisoning sequelae.It is suggested that the clinical awareness of benzene compound poisoning should be strengthened,early diagnosis and early treatment should be carried out to improve the prognosis of patients.

关 键 词：中毒 甲苯 二甲苯 乙苯 中枢神经系统 临床救治 

分 类 号：R135.12[医药卫生—劳动卫生]