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临床资料 7例均为氯气管道漏气吸入中毒。其中男2例,女5例。年龄20~43岁。吸入毒气时间5~8min,中毒至抢救时间约1.5h。主要临床表现:刺激性剧烈咳嗽、呼吸困难、不同程度紫绀各7例,恶心呕吐6例,流泪、头昏、胸闷、烦躁不安各4例,神志恍惚2例,浅昏迷伴尿失禁1例。7例体温、血压均正常。脉搏88~120/min,呼吸23~44/min眼结膜充血、鼻腔分泌物增多6例,两肺呼吸音粗糙5例。7例肝、脾、神经系统检查及胸透、心电图、血、尿、粪检查正常。入院后立即吸氧,2%麻黄素滴鼻,地塞米松5mg肌注;5%碳酸氢钠40ml加庆大霉素4×10~4U加
Seven cases of clinical data were chlorine gas pipeline leak poisoning. There are 2 males and 5 females. Age 20 ~ 43 years old. Inhalation gas time 5 ~ 8min, poisoning to rescue time of about 1.5h. The main clinical manifestations: irritating severe cough, dyspnea, cyanosis in varying degrees of 7 cases, nausea and vomiting in 6 cases, tearing, dizziness, chest tightness, irritability in 4 cases, 2 cases of trance, superficial coma with urinary incontinence in 1 case. 7 cases of body temperature and blood pressure were normal. Pulse 88 ~ 120 / min, breathing 23 ~ 44 / min conjunctival hyperemia, nasal secretions increased in 6 cases, two lungs sound rough in 5 cases. Seven cases of liver, spleen, nervous system examination and chest X-ray, ECG, blood, urine, fecal examination was normal. Oxygen immediately after admission, 2% ephedrine intranasal, dexamethasone 5mg intramuscular injection; 5% sodium bicarbonate 40ml plus gentamicin 4 × 10 ~ 4U plus