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经口误服碳酸钡所致中毒颇为常见,但经呼吸道吸入所致的急性中毒较为罕见。今报导一例并参考有关文献作一讨论,供同道们参考。患者男,22岁,广州人,临工。因在本市东圃某仓库搬运碳酸钡4小时后,逐渐感到头晕、眼花、噁心、呕吐、呕吐物为胃内容物,不久,旋即出现语音不清,继之呼吸急促,四肢乏力,遂即送东圃红十字会医院抢救治疗,经2小时的救治,未见好转,即电告我院出车于当晚9时40分接回。入院时体格检查,T36℃,P104次/分,R30次/分,BP26血压67/13.33kPa,神志朦胧,语言不清,全身皮肤粘膜无出血点及黄染,双侧瞳孔约4mm,等圆等大,对光反射迟钝、唇甲轻度发绀,颈软,
Oral administration of barium carbonate caused by poisoning is quite common, but acute inhalation caused by respiratory tract is relatively rare. This report covers an example and makes reference to the relevant literature for discussion. Male patient, 22 years old, Guangzhou, temporary workers. After 4 hours of handling barium carbonate in a warehouse in Dongpu, city, people gradually feel dizzy, dazzled, nausea, vomiting and vomit. They soon became speechless, followed by shortness of breath and weakness in their limbs. To Dongwu Red Cross Hospital rescue treatment, after 2 hours of treatment, did not improve, that is, I told the hospital taxi at 9:40 that night to take back. Admission physical examination, T36 ℃, P104 times / min, R30 beats / min, BP26 blood pressure 67 / 13.33kPa, ambiguity, unclear language, systemic skin and mucous membrane without bleeding and yellow dye, bilateral pupil about 4mm, round Such as large, slow light reflex, a slight lip cyanosis, neck soft,