职业性急性三甲基氯化锡中毒3例  

Three cases of occupational acute trimethyltin chloride poisoning

作　　者：王亚梅 高顺姬[1] 于艳艳 刘璐 孟军[1] Wang Yamei;Gao Shunji;Yu Yanyan;Liu Lu;Meng Jun(Department of Occupational Diseases,Weifang People's Hospital,Weifang 261041,China)

机构地区：[1]潍坊市人民医院职业病科,潍坊261041

出　　处：《中华劳动卫生职业病杂志》2023年第7期546-549,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

摘　　要：三甲基氯化锡是一种高毒物质,经呼吸道、皮肤和消化道吸收,以中枢神经系统损伤为主要临床表现,同时可伴有多器官不同程度受损。本文对3例急性三甲基氯化锡中毒患者的救治过程进行梳理,分析其临床表现、辅助检查、诊治经过。3人就医早期在不同医院被误诊为精神异常、脑炎、肝性脑病等,提示临床医生应重视中毒患者的职业接触史,及时进行毒物检测,避免误诊误治。Trimethyltin chloride is a highly toxic substance,which is absorbed through respiratory tract,skin and digestive tract,with central nervous system injury as the main clinical manifestations,and can be accompanied by damage to various organs.In this paper,the treatment process of 3 patients with acute trimethyltin chloride poisoning was reviewed,and their clinical manifestations,auxiliary examination,diagnosis and treatment were analyzed.Three patients were misdiagnosed as mental abnormality,encephalitis,and hepatic encephalopathy in different hospitals in the early stage of medical treatment,suggesting that clinicians should pay attention to the occupational contact history of poisoned patients and conduct toxicant detection in time to avoid misdiagnosis and mistreatment.

关 键 词：中毒 三甲基氯化锡 急性 聚氯乙烯 磁共振成像 

分 类 号：R135.1[医药卫生—劳动卫生]