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二氧化碳中毒文献报导不多。现将作者等收治的2例报导如下。例1 女,23岁,果店售货员。于1978年1月28日下午1时许进入密闭的防空洞里拿香蕉时即昏倒。同事(例2)见状急进洞里抢救。亦昏倒。后由他人用湿毛巾捂住口鼻进洞里将两患者救出,约10余分钟抢离现场,由附近卫生院医生抢救。当时无呼吸心跳,经心内注三联针1次及行人工呼吸后有微弱心跳,但无呼吸,神志仍不清。转送本院急诊室继续人工呼吸,吸氧,心内再注三联针1次,静注呼吸兴奋剂,约半小时恢复心跳呼吸。心率130次,呼吸5次,处深昏迷状态,全身紫绀。当天下午4时送入病房。体查:T37.2℃,P130次,R 10次,BP160/100。呈深昏迷,全身紫绀,四肢冰冷,呼吸慢而长,喉有痰鸣,全身皮肤无黄染或出血点。两侧瞳孔散大、大小不等,左侧8mm,右侧5mm,对光反应消失,两侧眼底有片状出血,左侧视乳头轻度水肿。颈软。两肺呼吸音粗,可闻痰鸣音。心律整,心率130次,无病理性杂音。腹部无特殊。深、浅反射消失,无病理反射。EKG:窦性心动过速,偶发房性早缩,心肌劳损。化验室检查:血NPN40.8mg%,CO_2CP 31.2
Carbon dioxide poisoning reported little literature. Now the author received 2 cases reported as follows. Example 1 Female, 23 years old, fruit shop salesman. At 1:00 pm on January 28, 1978 at 1 pm into the closed bomb shelter to take bananas that fainted. Colleagues (Example 2) saw the emergency hole into the rescue. Also fainted. After being covered with wet towel by others with the nose and mouth into the hole will be rescued by the two patients, about 10 minutes away from the scene, rescued by a nearby hospital doctors. At that time, no breathing heartbeat, intracardiac injection of triple needles and artificial respiration after a weak heartbeat, but no breathing, consciousness is still unclear. Transfer to our emergency room to continue artificial respiration, oxygen, re-intracardiac triple needle 1, intravenous injection of stimulants, about half an hour to resume heartbeat. Heart rate 130 times, breathing 5 times, at a deep coma, the whole body cyanosis. 4 o’clock in the afternoon into the ward. Physical examination: T37.2 ℃, P130 times, R 10 times, BP160 / 100. Deep coma, systemic cyanosis, cold limbs, slow breathing and long, throat phlegm, systemic skin without yellow dye or bleeding point. Dilated on both sides of the pupil, ranging in size, the left 8mm, right 5mm, disappeared on the light reaction, both sides of the ocular hemorrhage, left optic disc mild edema. Neck soft. Breath sounds coarse lungs, phlegm can be heard sound. Whole heart rhythm, heart rate 130 times, no pathological murmur. Abdomen no special. Deep, shallow reflex disappeared, no pathological reflex. EKG: sinus tachycardia, occasional atrial contraction, myocardial strain. Laboratory tests: blood NPN 40.8mg%, CO_2CP 31.2