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甲苯(C_6H_5CH)作为一种有机溶剂或稀释剂广泛用于化学工业和医药工业中。甲苯口服中毒极为罕见,其急性中毒主要影响中枢神经系统。最近我院偶见1例因误服甲苯致急性中毒并弥漫性腹膜炎患者,现报道如下。患者女性,22岁,未婚,工人。因误服甲苯后呕吐、持续性上腹疼痛5~+小时于1986年3月14日下午5时30分入急诊观察室。 5~+小时前,患者因误服甲苯约100毫升后即感上腹不适,曾呕吐1次,吐出甲苯及胃内容混合物。10分钟后被家属送到本市某医院予“洗胃”等治疗,因述持续性上腹部疼痛并惭惭伴有神志恍惚遂于1986年3月14日5时20分转我院。体格检查:T36.3℃,P104次/分,R21次/分,BP90/70mmHg。发育正常,
Toluene (C_6H_5CH) as an organic solvent or diluent is widely used in chemical industry and pharmaceutical industry. Oral toluene poisoning is extremely rare, its acute poisoning mainly affects the central nervous system. Recently, I occasionally see a hospital for acute poisoning caused by toluene poisoning and diffuse peritonitis patients are reported below. Patient female, 22 years old, single, worker. Due to mistaken use of toluene vomiting, persistent abdominal pain 5 ~ + hours on March 14, 1986 at 5:30 pm into the emergency room. 5 ~ + hours ago, the patient was upset about 100 ml of toluene because of abdominal discomfort, vomiting once, spit out the mixture of toluene and stomach content. 10 minutes later, his family members were sent to a hospital in the city for “gastric lavage” and other treatment. Because of persistent upper abdominal pain and ashamed with ashen trance, he was transferred to our hospital at 5:20 on March 14, 1986. Physical examination: T36.3 ℃, P104 times / min, R21 beats / min, BP90 / 70mmHg. Normal development,