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患者陈××,男性,17岁、学生。因某厂冷冻设备用的氨气钢瓶爆裂,高浓度氨大量外逸,在距现场2m处室内休息的该患者,听到爆炸声向室外跑,当跑到门口时,即被氨气熏倒,一小时后救出。当时意识不清,呼吸极度困难,全身复盖一层白霜,急送当地医院立即用清水冲洗,给吸氧、注射呼吸兴奋剂,输液等治疗,意识清醒后,急诊入院。 体检:体温38.2℃,脉搏120次/分,呼吸38次/分血压15/11kPa(110/80mmHg),重病容,意
Patient Chen × ×, male, 17 years old, student. Due to the burst of ammonia cylinder used in the refrigeration equipment of a factory, a large amount of ammonia excreted in a high concentration. When the patient, resting indoors 2 meters away from the scene, heard the explosion run to the outside and ran off to the door, he was smoked , Rescued one hour later. At that time unconsciousness, breathing extremely difficult, the body covered with a layer of hoarfrost, immediately sent to the local hospital rinse, to oxygen, injection of respiratory stimulants, infusion and other treatment, consciousness, after emergency admission. Physical examination: body temperature 38.2 ℃, pulse 120 beats / min, breathing 38 times / min blood pressure 15 / 11kPa (110 / 80mmHg), serious illness, meaning