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1986年7～8月,我科收治一起误服甲醇致急性中毒病例,检出其原液样中含甲醇高达92.3g%.现将资料较完整的15例总结如下.临床资料一、一般情况及临床表现;男14例、女1例.年龄22～65岁.中毒量按饮入毫升数×甲醇浓度计算,为10～115g.死亡病例中毒量为92.3～115g.临床症状有头晕、头痛、唇舌麻木、兴奋失眠、精神萎麋、步态蹒跚、恶心呕吐、呃逆、腹痛、腹泻、视力减退、失明、幻视、精神行为异常、嗜睡、昏迷、休克、酸中毒及呼吸衰竭.实验室及特殊检查:10例查肝功正常,5例查心电图3例异常,眼底检查可见眼底静脉增粗、眼底动静脉变细伴黄斑色素暗淡及中心窝反光消失和黄斑色素紊乱.
1986 July to August, our department treated with a case of acute poisoning caused by methanol inadvertently detected in its original sample of liquid containing up to 92.3g%. Now the more complete data of 15 cases are summarized as follows Clinical data First, the general situation and Clinical manifestations: 14 males and 1 females aged 22 to 65. Poisoning volume by the number of milliliters × methanol concentration calculation, 10 ~ 115g. The death of poisoning was 92.3 ~ 115g. Clinical symptoms are dizziness, headache, Numbness, insomnia, insomnia, mental elk, staggering gait, nausea, vomiting, hiccups, abdominal pain, diarrhea, vision loss, blindness, hallucinations, mental disorders, lethargy, coma, shock, acidosis and respiratory failure. Special examination: 10 cases of normal liver function check, 5 cases of ECG abnormalities in 3 cases, the fundus examination showed thickening of the fundus, fundus arteriovenous thinner with macular dimming and disappearance of central reflex and macular pigment disorders.