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我院内科、急诊科从1993年以来收治急性氟乙酰胺中毒32例,现报告如下。 1 临床资料 1.1 一般资料:32例中男18例.女14例,年龄1～7岁23例,8～14岁4例,>14岁5例。服毒到入院时间最短20分钟,最长者5小时。按临床症状分度,轻度中毒12例,中度12例,重度8例。诊断依据:①有明确服毒史;②急性起病;③临床症状表现为恶心、呕吐、头痛、头晕、烦燥不安四肢未稍麻木感、阵发性痉挛和抽搐等。 1.2 临床表现:全部病例服毒20分钟～5小时出现中毒症状.其中出现头晕、恶心、呕吐26例、腹痛、腹胀22例,烦燥不安四肢未梢麻木感、心动过速室性早搏21例,阵发性痉挛、抽搐7例,昏迷1例。
Our hospital internal medicine, emergency department admitted since 1993, 32 cases of acute fluoroacetamide poisoning, are as follows. 1 Clinical data 1.1 General information: 32 cases of 18 males and 14 females, aged 1 to 7 years in 23 cases, 8 to 14 years in 4 cases,> 14 years in 5 cases. Toxicity to hospital for a minimum of 20 minutes, the longest five hours. Divided by clinical symptoms, mild poisoning in 12 cases, moderate in 12 cases, severe in 8 cases. Diagnosis is based on: ① a clear history of poisoning poisoning; ② acute onset; ③ clinical symptoms showed nausea, vomiting, headache, dizziness, irritability limbs are not a little numbness, paroxysmal spasms and convulsions. 1.2 Clinical manifestations: All cases of poisoning 20 minutes to 5 hours of symptoms of poisoning which appears dizziness, nausea, vomiting in 26 cases, abdominal pain, abdominal distension in 22 cases, irritability limbs no numbness, tachycardia premature ventricular contractions in 21 cases, Paroxysmal spasms, convulsions in 7 cases, coma in 1 case.