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我院今年4月收治我矿区某施工单位因误食施工用亚硝酸钠而致急性中毒154例,年龄22～56岁,在进食后1～1.5小时感头晕、恶心、乏力,分批送至我院急诊。因病例数多,我们一方面将呕吐物进行鉴定,一方面分析判定可能系亚硝酸盐中毒,即制定抢救方案。根据临床表现和中毒程度将患者分为轻、中、重三类。轻度中毒(60例):患者进食较少,来院时仅感稍有头晕,口唇略青紫。一次给美蓝40毫克静脉推注。中度中毒(92例):患者胸闷头晕明显,有恶心呕吐,不能自行站立,口唇明显青紫。一次给美蓝40～60毫克,再给5克维生素丙加入10％葡萄糖中静滴,酌情给予氧气吸入。1/2～1小时后根据病情再予美蓝20～40毫克,总量约达60～100毫克。重度中毒共2例,其中一例因来院较迟而延误治疗,入院后3小时
A hospital in our hospital in April this year, admitted to a construction unit for food poisoning caused by construction of sodium nitrite in 154 cases, aged 22 to 56 years old, 1 to 1.5 hours after eating dizziness, nausea, fatigue, sent in batches Our hospital emergency room. Due to the number of cases, we will vomit identification, on the one hand, the analysis may determine the Department of nitrite poisoning, that the development of rescue programs. According to the clinical manifestations and the degree of poisoning patients will be divided into light, medium and heavy three categories. Mild poisoning (60 cases): patients eat less, to the hospital only a slight feeling of dizzy, slightly blue lips. Once to the United Blue 40 mg intravenous injection. Moderate poisoning (92 cases): Patients with chest tightness, dizziness, nausea and vomiting, can not stand on their own, lips clearly purple. Once to the United States blue 40 ~ 60 mg, give 5 grams of vitamin C added 10% glucose intravenous infusion, as appropriate, given oxygen inhalation. 1/2 ~ 1 hour later according to the disease to the blue 20 to 40 mg, the total amount of about 60 to 100 mg. Severe poisoning in 2 cases, of which one case due to delay in treatment to hospital, 3 hours after admission