论文部分内容阅读
目的分析光气中毒的临床表现及胸部X线特征。总结不同程度急性光气中毒的临床特点以及治疗、转归。方法对23例光气中毒患者的临床资料做回顾性分析,根据轻、中、重度光气中毒患者的临床特点、辅助检查,给予吸氧、糖皮质激素、预防感染、化痰、保护胃黏膜等治疗。结果轻、中度中毒患者胸片表现为肺纹理增多或两肺斑点状高密度影,重度中毒患者胸片均表现为肺水肿。中毒程度的轻重与性别、年龄无关。症状越多,体征越重,提示病情越重。结论光气中毒分级与胸部X线征象有一定相关性,根据《职业急性光气中毒的诊断标准》,结合临床症状分级与胸片特征做出诊断,及时摄胸片及复查有重要意义。纠正缺氧是抢救光气中毒成功的关键。早期应用糖皮质激素治疗可以预防或治疗肺水肿。
Objective To analyze the clinical manifestations of phongene poisoning and chest X-ray features. To sum up the clinical features of different degrees of acute phosgene poisoning and treatment, prognosis. Methods The clinical data of 23 patients with phosgene poisoning were retrospectively analyzed. According to the clinical features of patients with mild, moderate and severe phongene poisoning, the patients were given the tests of oxygen, glucocorticoid, infection prevention, phlegm, gastric mucosa protection Other treatment. Results The results of mild and moderate poisoning chest X-ray showed increased lung markings or two spots speckle-like high density, severe poisoning in patients with chest X-ray showed pulmonary edema. The severity of poisoning has nothing to do with gender and age. The more symptoms, the heavier the signs, suggesting that the more serious the disease. Conclusion The classification of phosgene poisoning has some correlation with chest X-ray findings. According to the diagnostic criteria of occupational acute phosgene poisoning, combining with the classification of clinical symptoms and the characteristics of chest radiograph, it is of great significance to take chest radiograph and review in time. Correct hypoxia is the key to the success of phosgene rescue. Early application of glucocorticoid treatment can prevent or treat pulmonary edema.