1992年11月7日××医院妇产科婴儿室14例新生儿因食用误投亚硝酸钠的牛奶,造成14例新生儿中毒,其中1例死亡。一、事故发生经过11月7日晚7时40分,护士发现1名新生儿口唇青紫。经值班医生检查,余无异常。给予氧气吸入后青紫稍有改善。至8时,又发现一名新生儿有口唇轻度青紫。9时又喂奶,每人喂奶量在15～90 ml。晚10时50分,后者青紫加重,发展到全身,哭闹不 November 7, 1992 ×× Hospital obstetrics and gynecology baby room 14 cases of newborns mistakenly cast due to consumption of sodium nitrite milk, resulting in 14 cases of neonatal poisoning, of which 1 case died. First, the accident occurred After 7:40 on the evening of November 7, the nurse found a neonatal bruising lips. After the doctor on duty, I no exception. After giving oxygen inhalation bruising slightly improved. By 8 o’clock, a newborn was found to have a slightly bruising lip. At 9 o’clock and feeding, each feeding amount of 15 ~ 90 ml. Night 10:50, the latter bruising increased to the whole body, not crying