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溴甲烷是一种常用的熏蒸消毒剂,可由吸入其蒸汽或皮肤接触而中毒。我们遇到溴甲烷集体急性中毒13例,报道如下。一般资料:男1例,女12例。年龄27～61岁,平均39.3岁。均系某食品厂工人。因在溴甲烷消毒后13小时尚有残气的环境中工作,致中毒发病。接触时间:40分钟～12小时。潜伏期20分钟～4天。9例在10小时内发病。主要症状:头痛头晕8例,恶心9例,呕吐5例,乏力3例,嗜睡3例,眼不适畏光3例,口角发麻2例,喉头痛2例,昏迷1例。13例均得到及时治疗。在我院治疗的8例病人均给予肌注二巯基丙醇,除一列严重中毒另行抢救外,余7例均予10%葡萄糖、ATP、细胞色素C及对症处理,症状
Methyl bromide is a commonly used fumigation disinfectant that can be poisoned by inhalation of its vapor or skin contact. We encountered 13 cases of acute methyl bromide poisoning, reported as follows. General information: 1 males and 12 females. Age 27 to 61 years old, average 39.3 years old. Are a food factory workers. 13 hours after the methyl bromide disinfection still residual gas environment work, resulting in poisoning. Contact time: 40 minutes ~ 12 hours. Incubation period of 20 minutes to 4 days. Nine patients in 10 hours of onset. Main symptoms: headache and dizziness in 8 cases, 9 cases of nausea, vomiting in 5 cases, 3 cases of fatigue, drowsiness in 3 cases, eye irritation in 3 cases, mouth and numb in 2 cases, 2 cases of laryngeal pain, coma in 1 case. Thirteen cases were treated promptly. 8 patients treated in our hospital were given intramuscular injection of mercaptopropanol, in addition to a series of serious poisoning and other rescue, the remaining 7 cases were given 10% glucose, ATP, cytochrome C and symptomatic treatment, symptoms