1临床资科患者女,32岁。远邻面深龋,探痛(),冷热痛(),发现明显穿髓点。封入适量(6号球钻头大小)三氧化二砷牙髓失活剂,常规医嘱。回家4小时后患者出现全身无力、发冷、恶心、呕吐症状,并伴有轻度腹痛。当地卫生所以“急性胃肠炎”给予处理,症状无缓解,即回我院,查:脉搏96次/分,血压12.0/6.0Kpa,神烦燥呕吐、腹痛加剧,全身皮肤有轻度虫爬感。血尿、便常规检查正常,患者自述为高敏体质,对很多药物过敏。请我院内科会诊,排除“胃肠炎”诊为“三氧化二砷中毒”。取出失活剂,用碘甘油反复冲洗,肌注“二巯基醇”1mg,3小时后症状基本消除。2讨论 1 clinical gyno patients female, 32 years old. Far from the surface of deep caries, analgesic (), hot and cold pain (), found significantly through the pulp point. Enclose the appropriate amount (No. 6 ball drill bit size) arsenic trioxide dental pulp deactivator, conventional doctor’s advice. Four hours after returning home, she developed general weakness, chills, nausea and vomiting accompanied by mild abdominal pain. Local health “acute gastroenteritis” to give treatment, no relief of symptoms, that is, back to our hospital, check: pulse 96 beats / min, blood pressure 12.0 / 6.0Kpa, irritability, vomiting, aggravating abdominal pain, mild body skin Worm crawling. Hematuria, routine examination was normal, the patient readme high-sensitivity physique, allergy to many drugs. Please my hospital medical consultation, rule out “gastroenteritis” diagnosed as “arsenic trioxide poisoning ”. Removed deactivator, repeated flushing with iodine glycerol, intramuscularly “dimercapto alcohol ” 1mg, 3 hours after the symptoms were basically eliminated. 2 discussions