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林杰、李赐壁、汪润芝、袁中文(辽宁省劳动卫生研究所)报道:本文报告的8例丙烯腈中毒患者,发病均较迅速并有不同程度的昏迷。其中5例白细胞有一过性增高,2例血气分析表现为低氧血症及代谢性酸中毒,3例心电图出现传导功能障碍及ST-T改变,1例X线胸片表现为急性化学性肺炎及肺水肿样改变。经及时吸入亚硝酸异戊酯,每人吸入2~4支,同时静脉给予美兰100~200mg。给药后,患者出现不同程度发绀、严重者四肢亦很明显。此时表明体内已形成大量高铁血红蛋白,每
Lin Jie, Li Zhibi, Wang Runzhi, Yuan Zhongwen (Liaoning Institute of Labor and Health) reported: 8 cases of acrylonitrile poisoning reported in this article, the incidence was more rapid and have different degrees of coma. Among them, 5 cases of leukocytes had a transient increase, 2 cases of blood gas analysis showed hypoxemia and metabolic acidosis, 3 cases of ECG dysfunction and ST-T changes, 1 case of chest X-ray showed acute chemical pneumonia And pulmonary edema-like changes. After timely inhalation of isoamyl nitrite, each inhaled 2 to 4, while giving intravenous Meilan 100 ~ 200mg. After administration, patients with varying degrees of cyanosis, severe limbs are also obvious. At this point shows that the body has formed a large number of methemoglobin, each