论文部分内容阅读
病人男性,41岁,工人。1971年5月12日入院。患者于入院前一小时,检修黄磷车间管道时,不慎被流出的液态黄磷灼伤两侧下肢,当时立即跳入车间水池内清洗灭火,自感局部疼痛,于厂医务室用0.4％硫酸铜清洗后抬送我院。 体格检查:一般情况良好。巩膜无黄染。心肺正常,肝脾未扪及。两侧小腿及腘窝部灼伤,皮肤红肿,表皮脱落,面积约7％。诊断为二度黄磷灼伤。 住院后,进一步清洗创面,并用0.4％硫酸铜湿敷。于当天晚上开始,有轻度的恶心和不适感。第二天头晕乏力,恶心加重,呕吐少许食物。尿呈
Patient Male, 41 years old, worker. May 12, 1971 admission. Patients an hour before admission, overhaul phosphorus pipe plant, accidentally being discharged from the liquid yellow phosphorus burns on both sides of the lower limbs, then immediately jumped into the workshop pool cleaning and extinguishing, self-induced local pain, the factory clinic with 0.4% sulfuric acid After carrying copper wash to our hospital. Physical examination: generally good. Sclera without yellow dye. Cardiopulmonary normal, liver and spleen not palpable. Burns on both sides of the calf and popliteal fossa, skin irritation, skin loss, an area of about 7%. Diagnosed as a yellow phosphorus burn. After hospitalization, the wounds were further cleaned and wet-coated with 0.4% copper sulfate. On the evening of the same day, there was mild nausea and discomfort. Dizziness and fatigue the next day, nausea increased, vomiting a little food. Urine was