对急性气体中毒治疗的新认识  

A New Cognition on Clinical Treatment of Acute Gas Poisoning

作　　者：阮惠芬[1] 陈宏武[1] 王宏[1] 王达明[1] 卫建欣[1] 谢文锋[1] 

机构地区：[1]中山大学附属第一医院黄埔院区急诊科,510700

出　　处：《岭南急诊医学杂志》2003年第3期163-164,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:总结急性气体中毒的临床特点和治疗体会。方法:利用急性中毒调查表分析57例急性气体中毒病人的毒物接触史、临床情况。结果:本组病人20岁至29岁年龄组占比例最高(57.9％),防护不周引起中毒占93.0％,一氧化碳(32.2％)居毒物种类首位,油漆(30.5％)其次,共有13例出现并发症(22.8％),死亡5例(8.8％)。结论:有毒有害气体引起中毒危害最大的是化学性肺水肿和中毒性脑病,急性气体中毒强调综合性治疗,预防措施包括加强企业安全劳动防护制度管理,生产作业安全操作等。Objective: To summary the clinical characteristics and treatment of acute gas poisoning. Methods: A prospective observational study was conducted for acute gas poisoning cases from June 2001 to February 2003. Results: 57 acute gas poisoning cases were collected in the study. The 20-29s of the patients was most common. The common reason of poisoning were lack protection (93.0%). Carbon monoxide was the most common poison (32.2%), paint next (30.5%). 13 cases(22.8%)had complications. 5 cases(8.8%)died. Conclusion: The most severe status from acute gas poisoning is chemical pulmonary edema and cerebral edema. A management of the poisoned patients needs a complex treatment. Preventive measures include to enhance the management of enterprise's protection and safe operation in labor and so on.

关 键 词：急性气体中毒 治疗 肺水肿 毒物 医学 

分 类 号：R595.1[医药卫生—内科学]