论文部分内容阅读
为加强对毒鼠强中毒的认识，分析了161例经毒物鉴定证实的毒鼠强中毒病人的中毒途径、临床表现、实验室检查所见与治疗。结果表明：中毒途径为胃肠道中毒。毒鼠强中毒的潜伏期较短，多数在进食毒物0．5～1h内发病。主要中毒症状为头痛、头晕、乏力、恶心、呕吐、腹痛不安、严重者神志模糊、强直性惊厥与昏迷。一些病例有血清ALT与BUN升高，1例出现急性肾功能衰竭。24例ECG表现心肌缺血与损伤。主要治疗措施为清除消化道内毒物（催吐、洗胃、导泻），抗惊厥（肌注苯巴比妥钠），活性炭血液灌流以除去血中吸收的毒物，与其它对症支持疗法。经治疗161例全部痊愈。
In order to strengthen the cognition of tetramine poisoning, the poisoning pathway, clinical manifestations and laboratory findings of 161 toxic tetramine poisoning confirmed by the identification of toxicants were analyzed. The results show that: the poisoning way is gastrointestinal poisoning. The incubation period of tetramine poisoning is shorter, most of the incidence of eating poison within 0.5 ~ 1h. The main symptoms of poisoning headache, dizziness, fatigue, nausea, vomiting, abdominal pain, severe confusion, tonic convulsions and coma. Some cases have elevated serum ALT and BUN, 1 case of acute renal failure. 24 cases of ECG showed myocardial ischemia and injury. The main treatment for the removal of toxic substances in the digestive tract (emetic, gastric lavage, catharsis), anticonvulsant (intramuscular injection of sodium phenobarbital), activated carbon hemoperfusion to remove blood poisoning, and other symptomatic supportive therapy. After treatment of 161 cases were fully recovered.