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急性氯气中毒可使支气管、肺泡遭受化学性损伤而导致肺水肿。对于重危病例、通常用氧气疗法及药物治疗往往不能奏效,且可因急性通气障碍引起严重缺氧而危及生命。我们抢救2例严重急性氯气中毒肺水肿时,在应用各种疗法失败后,采用了机械呼吸器间歇正压呼吸(IPPB),结合其他各种综合性抢救措施获得了成功,现报告如下。 病例介绍 例1 石××,男,45岁,建筑工人,住院号32092。1979年9月7日下午3时入院。因吸入高浓度氯气3分钟后出现呛咳、呼吸困难、发绀、神志不清,1小时后急诊入院。查体:神志不清,躁动不安,角膜混浊,呼吸困难,口吐少许泡沫痰,口唇
Acute chlorine poisoning can make bronchial, alveolar chemical damage caused by pulmonary edema. In critically ill cases, the usual use of oxygen therapy and medication often fails, and can be life-threatening as a result of severe hypoxia caused by acute airway obstruction. We rescued 2 cases of severe acute chlorine poisoning pulmonary edema, the use of various therapies failed, using mechanical respirator intermittent positive pressure breathing (IPPB), combined with a variety of other comprehensive rescue measures were successful, are as follows. Case Presentation Example 1 Shi × ×, male, 45 years old, construction worker, hospital number 32092. At 7:00 on September 7, 1979 admitted. 3 minutes after inhalation of high concentrations of chlorine cough, difficulty breathing, cyanosis, confusion, 1 hour after emergency admission. Physical examination: unconsciousness, restlessness, corneal opacity, difficulty breathing, spit a little foamy sputum, lips