论文部分内容阅读
男8例,女4例。10例因食放置大于6小时的菜水,于食后l~4小时发病,2例因服磺胺药后4小时发病。均有呕吐,呼吸急促,心率增快,皮肤粘膜青紫,青紫与缺氧不成比例,静脉血呈紫黑色,在空气中振摇色不变,放置5~6小时后变为红色。二氧化碳结合力均<17mmol/L。治疗用1%美蓝1mg/kg加10%莆萄糖5ml缓慢静注,有9例用维生素C1g加10%葡萄糖静滴,有7例加细胞色素C静滴,纠正酸中毒,青紫均于20分钟~4小时消失。
8 males and 4 females. 10 cases due to food placed more than 6 hours of vegetable water in the food l ~ 4 hours of onset, 2 cases of sulfa drug 4 hours after onset. All have vomiting, shortness of breath, rapid heart rate, skin mucosal bruising, purple and hypoxia is not proportional, venous blood was purple black, shaken in the air the same color, placed 5 to 6 hours later turned red. Carbon dioxide binding power <17mmol / L. Treatment with 1% methylene blue 1mg / kg plus 10% glucose 5ml intravenous injection, 9 cases with vitamin C1g plus 10% glucose intravenous infusion of cytochrome C in 7 cases, correct acidosis, cyanosis are in 20 minutes to 4 hours to disappear.