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在工业生产中,偶可发生急性氯气中毒,其病情进展快,甚至可发生“闪电样”死亡。我们收治3例,现报告如下。例1,男,40岁。于入院前1时因生产事故吸入氯气,随出现频繁呛咳,呼吸困难,伴抽搐1次。急送我院急诊室,查体:中年男性,R48次/分,P100/分,BP20/10kPa,双肺布满哮鸣音,无水泡音。心率100次/分,律整。诊为急性氧气中毒,给于氟美松10mg静推,吸氧等,转入病房给于异丙基肾上腺素、氨苯硷,氟美松等静滴及对症治疗,住院20天,痊愈出院。例2,男,30岁。入院前半小时因吸入大量氯气,即刻晕厥。10分钟后急送入我院。查体:神志清,R30次/分,P110次/分,BP18/9 kPa,
In industrial production, even acute chlorine poisoning can occur, the rapid progression of the disease, and even “lightning-like” death. We admitted to 3 cases, are as follows. Example 1, male, 40 years old. At 1:00 before admission due to production of chlorine inhalation, with frequent cough, difficulty breathing, with convulsions 1. Emergency hospital emergency room, physical examination: middle-aged men, R48 times / min, P100 / min, BP20 / 10kPa, lungs covered with wheeze, anhydrous bubble sound. Heart rate 100 beats / min, rhythm. Diagnosed as acute oxygen poisoning, given to 10mg dexamethasone push, oxygen, etc., into the ward for isoproterenol, ammonia base, flumethasone and other intravenous and symptomatic treatment, hospitalized for 20 days, discharged . Example 2, male, 30 years old. Half an hour before admission due to inhalation of a large number of chlorine, instantly syncope. After 10 minutes into our hospital urgency. Physical examination: Consciousness, R30 beats / min, P110 beats / min, BP18 / 9 kPa,