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某粮仓用磷化氢熏仓发生火警,造成救火工人中毒。其中症状较重者21例住院治疗。接触当天发病,主要症状有头晕、头疼、乏力、胸闷、恶心、食欲不振等。7例有低热;17例无肝炎病史者4例查体见肝可触及、肝功能化验全在正常范围。所有病例经卧床休息、支持治疗,症状均在三天内减轻或消失。出院后追访,恢复良好。结合其它类似事故的经验,对专设急性磷化氢中毒诊断标准的必要性、磷化氢与其它无机磷化物、有机磷农药的区别、诊断原则、分级指标中的具体问题提出讨论。作为编制诊断标准的依据。
A silo with phosphine smoked warehouse fire, causing firefighters poisoning. 21 cases of severe symptoms were hospitalized. The incidence of contact on the day, the main symptoms are dizziness, headache, fatigue, chest tightness, nausea, loss of appetite and so on. 7 cases had low fever; 17 cases without history of hepatitis, 4 cases of physical examination can be found in the liver, liver function tests are in the normal range. All cases of bed rest, supportive treatment, the symptoms are reduced or disappeared within three days. Follow up after discharge from hospital and recover well. Combined with experience of other similar accidents, the necessity of the diagnostic criteria for acute phosphine poisoning, the differences between phosphine and other inorganic phosphides, organophosphorus pesticides, diagnostic principles and grading indicators are discussed. As a basis for the preparation of diagnostic criteria.