我院同时收治4例急性砷化物中毒致急性肾功能衰竭患者,现报告如下。 临床资料 本文病例均符合1982年全国危重病急救医学学术会议拟定的急性肾功能衰竭的诊断指标。本组男3例,女1例,年龄19～31岁,平均24岁,均系在冶炼黄金加料过程中误吸入砷化物蒸气所致。 临床表现 4例均在误吸入砷化物有毒蒸气1h后出现乏力、畏寒、发热、恶心、呕吐。呕吐物为咖啡色胃内容物,且含金属异味,胸闷腹痛。全身皮肤由黄渐变为棕红色,20h后转变为青紫色,巩膜重度黄染,重症病容,大便为柏油样稀糊状,中 4 cases admitted to our hospital at the same time acute arsenic poisoning caused acute renal failure patients, are as follows. Clinical data in this paper are in line with the 1982 National Emergency Medicine Conference developed acute renal failure diagnostic criteria. The group of 3 males and 1 females, aged 19 to 31 years old, an average of 24 years old, are in the process of smelting gold inadvertently due to inhalation of arsenic vapor. Clinical manifestations of 4 cases were mistakenly inhaled arsenic toxic vapor 1h after fatigue, chills, fever, nausea, vomiting. Vomit for the contents of brown stomach, and the metal smell, chest tightness and abdominal pain. Whole body skin changes from yellow to reddish brown, after 20h into purple, sclera severe yellow dye, severe disease, stools like asphalt-like paste, in the