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氰化物是一种含CN~-的剧毒药品,儿童常因误食用氰化物浸泡过的灭鼠诱饵而发病。本病起病急,病情变化大,抢救不及时极易引起中毒死亡。我科97年1月—3月共救治误食氰化物浸泡的灭鼠诱饵——红苕片中毒患儿14例,本组均治愈出现。现报告如下:1 临床资料氰化物中毒14例,男9例,女5例,年龄最小者2岁,最大者8岁。12例(85.7%)误食1～12h就诊,1～3h出现临床表现;其中唾液增多,流涎10例;恶心呕吐12例;神志不清,阵发性强直性抽搐9例,抽搐一般持续5-10min,时间最长者持续30min,抽搐间隔时间为3-30min;合并不同程度脑水肿9例,出现呼吸不规则2例,心率加快10例,面色发绀1例。
Cyanide is a CN- - containing highly toxic drugs, children often due to eating cyanide soaked rodent bait and disease. The disease acute onset, the condition changes, the rescue is not likely to cause poisoning death in time. Our department January 97-March a total of rescue treatment of cyanide soaked rodent bait - red snapper poisoning in children with 14 cases, the group were cured. Now report as follows: 1 clinical data Cyanide poisoning in 14 cases, 9 males and 5 females, the youngest 2 years old, the largest of 8 years old. Twelve patients (85.7%) were treated with 1 to 12 hours of ingestion, and their clinical manifestations were observed within 1 to 3 hours. Among them, saliva increased, salivation in 10 cases, nausea and vomiting in 12 cases, unconsciousness in 9 cases with paroxysmal tonic convulsions and convulsions generally lasting 5 -10min, the longest duration of 30min, interval of convulsions 3-30min; merged with different degrees of brain edema in 9 cases, 2 cases of irregular breathing, heart rate increased in 10 cases, 1 case of cyanosis.