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目的探讨急性光气中毒的临床表现与救治。方法对19例急性光气中毒患者的临床症状、体征、动脉血气变化和肺影像学改变等临床资料进行综合分析。结果本组患者经以糖皮质激素为主的综合治疗后,临床症状及体征迅速改善,动脉血气恢复正常,肺部的影像学变化明显好转。结论急性光气中毒主要引起急性呼吸系统损害,通过以糖皮质激素为主的综合治疗,可以短时间内痊愈。
Objective To investigate the clinical manifestations and treatment of acute phosgene poisoning. Methods The clinical data of 19 patients with acute phosgene poisoning were analyzed. Clinical symptoms, signs, arterial blood gas changes and lung imaging changes were analyzed. Results The patients with glucocorticoid-based comprehensive treatment, clinical symptoms and signs of rapid improvement, arterial blood gas returned to normal, the lung imaging changes significantly improved. Conclusion Acute phosgene poisoning mainly causes acute respiratory damage. Through comprehensive treatment with glucocorticoid, it can be cured within a short period of time.