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目的:探讨群体性急性硫化氢中毒的特点及临床综合救治方法。方法:回顾总结群体性急性硫化氢中毒10例患者的原因、临床表现、实验室检查、临床综合抢救治疗方法。结果:4例患者来院时已死亡。收入ICU 4例重症患者,1例在ICU治疗半小时后死亡,其余3例均康复出院,其中有1例遗留神经系统后遗症(阵发性定向障碍)。收入普通病房2例轻、中度患者均康复出院。结论:对重度急性硫化氢中毒患者应尽早气管插管机械通气是抢救成功的关键,大剂量激素,亚甲蓝、乌司他丁等药物在硫化氢中毒抢救中发挥了重要的作用。同时尽早高压氧治疗对保护全身重要脏器,减少并发症,改善预后至关重要。
Objective: To explore the characteristics of group acute hydrogen sulfide poisoning and clinical comprehensive treatment. Methods: To summarize the causes, clinical manifestations, laboratory tests and comprehensive clinical rescue treatment of 10 patients with acute HSH. Results: Four patients died at the time of hospitalization. Four ICU patients were admitted to the intensive care unit, one died within half an hour after ICU treatment and the remaining three were discharged. Among them, 1 had neurological sequelae (paroxysmal dysfunction). Income of 2 cases of ordinary ward light and moderate patients were discharged. Conclusions: The mechanical ventilation of tracheal intubation as early as possible in patients with severe acute hydrogen sulfide poisoning is the key to successful rescue. High-dose hormones such as methylene blue and ulinastatin play an important role in the rescue of hydrogen sulfide poisoning. At the same time as soon as possible hyperbaric oxygen therapy to protect the vital organs of the body, reduce complications, improve the prognosis is crucial.