患者男性,24岁。1988年4月12日因事故性接触高纯度砷烷气体数秒种,当时即感头昏,并渐加重,约3小时后恶心、腰痛、不能站立,继而坐立不安,并发现尿色深,无尿频、尿急、尿痛。在急诊室经地塞米松,低分子右旋糖酐,碱化尿液等对症处理。第二天上述症状加重,感心慌气急,全身皮肤明显黄染,尿呈酱油色。诊断为急性砷烷中毒,收入院。体检:T36℃,P120次,R22次,BP15.96/9.31kPa(120/70mmHg)。患者神 Male patient, 24 years old. April 12, 1988 due to accidental exposure to high-purity arsine gas for a few seconds, was feeling dizzy, and gradually heavier, about 3 hours after nausea, back pain, can not stand, and then restless, and found dark urine, no urinary frequency Urgency, dysuria. Dexamethasone in the emergency room, low molecular weight dextran, alkalosis, urine and other symptomatic treatment. The next day the above symptoms aggravated, panic impatient, the body clear yellow skin dye, urine was soy sauce color. Diagnosis of acute arsenic poisoning, income hospital. Physical examination: T36 ℃, P120 times, R22 times, BP15.96 / 9.31kPa (120 / 70mmHg). Patient God