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某猪场买回酒糟后,经自然晒干,以普通钢磨粉碎,室内操作,未加防护。持续工作4小时后,5名操作人员均出现胸闷、气急、咽干不适、咳嗽、头痛等症状,继之畏寒、发热,3例体温在37.5℃～38.5℃间,2例则高达40℃而急诊入院。病程中无鼻阻、流涕等症状,当地无流感等病流行。入院体检:神志清楚,急性病容,呼吸急促。咽轻度充血,扁桃体不肿大,颈软,心(一),肺有散在细湿罗音,肝脾不肿大。化验:白细胞总数
After a pig farm bought back grains, the natural drying, grinding with ordinary steel mill, indoor operation, without protection. After four hours of continuous work, all five operators showed symptoms of chest tightness, shortness of breath, throat discomfort, cough and headache, followed by chills and fever. The body temperature was between 37.5 ℃ and 38.5 ℃ in 3 patients and 40 ℃ in 2 patients Emergency admission. No nose resistance in the course of the disease, runny nose and other symptoms, the local epidemic of influenza and other diseases. Admission medical examination: conscious, acute illness, shortness of breath. Pharyngeal mild congestion, tonsil does not enlarge, neck soft, heart (a), scattered in the lungs fine wet rales, liver and spleen is not swollen. Assay: The total number of white blood cells