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某厂丙烯腈车间发生急性氰化氢中毒(排除氢氰酸与丙烯腈或氰化钠联合中毒)47例,现分析如下。 临床资料:47例中男性40例,女性7例。工种:化工操作30例,检修14例,其它3例。年龄:19～30岁37例,31～41岁10例,平均25.9岁。均因排除故障或检修设备时,未注意防护而致中毒。 临床表现:吸入较高浓度氰化氢气体后,患者立即出现头晕、乏力、胸闷、恶心等症,如迅速撤离现场,中止吸收毒物,病情常较轻;如当时未立即脱离现场或吸入后立即昏倒,则病情严重,呈现昏迷、四
A plant acrylonitrile workshop occurred acute hydrogen cyanide poisoning (excluding hydrocyanic acid and acrylonitrile or sodium cyanide poisoning) in 47 cases, are analyzed as follows. Clinical data: 47 cases of male 40 cases, 7 females. Trades: chemical operations in 30 cases, overhaul in 14 cases, the other 3 cases. Age: 37 cases of 19 to 30 years old, 31 to 41 years old in 10 cases, an average of 25.9 years old. Due to troubleshooting or maintenance equipment, did not pay attention to protection and poisoning. Clinical manifestations: inhalation of high concentrations of hydrogen cyanide gas, the patient immediately dizziness, fatigue, chest tightness, nausea embolism, such as rapid withdrawal from the scene, stop absorbing toxic substances, the condition often light; if not immediately out of the scene or immediately after inhalation Collapsed, then the condition is serious, showing coma, four