论文部分内容阅读
高锰酸钾急性中毒者较罕见,国内仅见一例报告。现将我们遇到的一例,报告如下。患者男、23岁、住院号96049。患者误把高锰酸钾5克当驱虫药服用,服后即感口腔、咽喉、食道、上腹部烧灼痛,并恶心呕吐数口红紫色液体,乃发觉服错了药。随后于当地就诊,喝清水4,000毫升洗胃,洗出液中有紫红色小结晶颗粒。然后口服石蜡油40毫升,氢氧化铝凝胶15毫升、鸡蛋清3个,肌注阿托品0.5毫克。6个半小时后又来院就诊。根据病史,诊断高锰酸钾急性中毒。即下胃管用盐水小量多次洗胃,直至洗出液无色为止。然后灌入解毒剂(活性炭2份、鞣酸1份、氧化镁1份)30克,并静脉点滴10%葡萄糖
Acute potassium permanganate poisoning is rare, only one case of domestic report. Now we encounter an example, the report is as follows. Male patient, 23 years old, hospital number 96049. Patients mistakenly put 5 grams of potassium permanganate as deworming medication, after serving that mouth, mouth, throat, esophagus, upper abdomen burning pain and nausea and vomiting lipstick purple liquid, but found the wrong service. Followed by the local treatment, drink 4,000 ml of water gastric lavage, wash fluid with purple small crystal particles. Then oral paraffin oil 40 ml, aluminum hydroxide gel 15 ml, egg white 3, intramuscular injection atropine 0.5 mg. 6 and a half hours later came to hospital. According to medical history, diagnosis of acute potassium permanganate poisoning. The lower gastric tube with saline a small amount of gastric lavage, until the eluate colorless so far. Then antidote (2 parts of activated carbon, 1 part of tannic acid, 1 part of magnesia) was poured into 30 g and intravenously dripped 10% glucose