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某仓库硝酸氨化肥因意外起火,顿时硝烟弥漫,致使部分救火人员发生急性中毒。我院抢救小组和其他医疗单位共抢救急性中毒的患者384人,其中发生肺水肿者41例(10.7%)。肺水肿的诊断依据:(1)在参加救火后数小时内出现呼吸道症状者;(2)有发绀、气短、咯血痰及肺部罗音者;(3)X线胸片有肺水肿征象者。临床表现本病的临床经过可分为4期: 1.刺激期:吸入毒性气体后,多有呛
A warehouse ammonia nitrate fertilizer due to unexpected fire, suddenly filled with smoke and smoke, resulting in some firefighters acute poisoning. Our hospital rescue team and other medical units to rescue a total of 384 acute poisoning patients, including pulmonary edema occurred in 41 cases (10.7%). Pulmonary edema is diagnosed on the basis of (1) respiratory symptoms within hours of being involved in fire fighting, (2) cyanosis, shortness of breath, hemoptysis sputum and pulmonary rales, and (3) signs of pulmonary edema on the X-ray . Clinical manifestations The clinical course of the disease can be divided into 4 phases: 1. Stimulation period: After inhalation of toxic gases, more choke