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本文报告了26例急性氰化物中毒的临床资料,其中丙烯腈15例,氰化氢9例,氰化钠及乙腈各一例。氰化氢和氰化钠发病最快,乙腈和丙烯腈稍迟,临床表现基本相同,主要表现以四肢抽搐、呼吸困难为主,部分病人出现呼吸停止。急救方法,用特效解毒药,对呼吸停止的患者,应早期气管插管,以防喉头痉挛,发生窒息。用大剂量的细胞色素C和纠正酸中毒是抢救措施的重要一环。
This article reports 26 cases of acute cyanide poisoning clinical data, including 15 cases of acrylonitrile, hydrogen cyanide in 9 cases, sodium cyanide and acetonitrile in each case. Hydrogen cyanide and sodium cyanide incidence of the fastest, acetonitrile and acrylonitrile later, basically the same clinical manifestations, mainly in limbs convulsions, dyspnea, part of the patient breathing stopped. First aid method, with special effects antidote, stop breathing in patients with early tracheal intubation to prevent laryngeal spasm, the occurrence of asphyxia. With large doses of cytochrome C and correct acidosis is an important part of the rescue measures.