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患者女性,44岁。在无特殊通风设备的室内使用直接曝光的纯氯仿约2h后,突感闻及发霉干稻草样气味,胸闷难受,出现心慌、气急、头昏、四肢乏力、恶心于1987年10月6日急诊入院。平素健康,无高血压、心脏病史。体检;T37.2℃,R20次/min,BP150/90mmHg,神清,急性病容,皮肤未见出血点,眼球结膜不充血,口唇无紫绀,牙龈少量出血,咽部轻度充血,心界不大,心率105次/min,律齐,各瓣膜听诊区无杂音。两肺呼吸音略粗糙,未闻及干湿性罗音,腹软、肝、脾肋缘下未触及,神经系统检查正常。实验室:Hb97g/L,RBC3.18×10~(12)/L,WBC11.5×10~9/L,N87%,L13%,肝、肾功能、尿常规、出凝血时间无异常。入院后3hX线胸透、胸片心脏大小正常,双肺纹理稍增强。临床诊断:急性光气中毒(轻度)。
Female patient, 44 years old. In the absence of special ventilation equipment indoor use of direct exposure to pure chloroform about 2h, sudden sense of smell and moldy dry straw smell, uncomfortable chest tightness, palpitation, shortness of breath, dizzy, weakness, nausea in October 6, 1987 emergency Admission. Usually healthy, no high blood pressure, history of heart disease. Physical examination; T37.2 ℃, R20 times / min, BP150 / 90mmHg, Shen Qing, acute disease, skin no bleeding, conjunctival congestion, cyanosis of the mouth, a small amount of bleeding gums, pharynx mild congestion, the heart is not Large, heart rate 105 beats / min, law Qi, the valve auscultation area without noise. Respiratory sound slightly rough lungs, did not smell and wet and dry rales, abdominal soft, liver, spleen under the edge of the rib did not touch, the nervous system check is normal. Laboratory: Hb97g / L, RBC3.18 × 10 ~ (12) / L, WBC11.5 × 10 ~ 9 / L, N87%, L13%, liver and kidney function, urine routine, a clotting time without exception. 3h after admission X-ray chest, chest X-ray normal heart size, slightly enhanced lung texture. Clinical diagnosis: Acute phosgene poisoning (mild).