急性氟乙酰胺中毒是近年来灭鼠类药物中毒中较为常见一种。因其发病急,来势凶,病史有时欠详尽,临床表现多样化,加之基层医院缺乏特异性的实验室检查,往往延误诊断及治疗,造成误诊误治,甚至死亡。笔者总结我院自1994年5月至1998年9月间收治的急性氯乙酰胺中毒56例,其中误诊13例,占23％,现报告如下。1 临床资料1.1 一般资料 56例均系我院急诊科、内科、儿科病区,经临床和误服药物核实及有关实验室检查而确诊的病人。其中男22例,女34例;年龄2～84岁。其中农民29例,职工23例,打工者4例,儿童20例。服药量分别是半包至2包(约30～60g),送医院时间分别为30min至6h不等。54 Acute fluoroacetamide poisoning is more common in rodent control poisoning in recent years. Because of its acute onset, the potential fierce, sometimes ill-defined history, the clinical manifestations of diversity, coupled with the lack of specific primary hospital laboratory tests, often delay diagnosis and treatment, resulting in misdiagnosis and mistreatment, or even death. The author summarizes our hospital since May 1994 to September 1998 admitted to acute chloroacetamide poisoning in 56 cases, of which 13 cases were misdiagnosed, accounting for 23%, are as follows. 1 Clinical data 1.1 General Information 56 cases were in our hospital emergency department, internal medicine, pediatric ward, clinically and mistakenly convinced of the drug test and laboratory tests confirmed patients. Including 22 males and 34 females; aged 2 to 84 years. Among them, 29 were farmers, 23 were workers, 4 were migrant workers and 20 were children. The dosage was half to 2 bags (about 30 ~ 60g), to hospital time were 30min to 6h range. 54