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例1 39岁,干部、住院号76543。患者于1976年5月9日上午10时许在通风不良的环境下进行酸洗作业,原料为发烟硝酸,肉眼可见其烟雾为棕黄色(未测定当时车间毒物浓度)。工作20余分钟之后,即出现呼吸道刺激感,咳嗽,头晕,当天下午开始发烧,恶心,呕吐,头昏加重。经车间保健站一般治疗无效,且出现憋气,胸痛,于次日上午转来住院治疗。 检查:T37.7℃,BP80/50mmHg,R44次/分:口唇轻度发绀,咽部充血,双肺呼吸音粗,可闻及中小水泡音,尤以双肺底明显;心音低纯,律正,心
Example 1 39 years old, cadre, hospital number 76543. The patient was acid-washed in a poorly ventilated environment at 10 am on May 9, 1976, using fuming nitric acid as a raw material, with a brownish-yellow smoke visible to the naked eye. More than 20 minutes after work, there is respiratory irritation, cough, dizziness, the afternoon began fever, nausea, vomiting, dizziness. After the workshop health station general treatment is invalid, and appear suffocating, chest pain, transferred to the hospital the next morning treatment. Check: T37.7 ℃, BP80 / 50mmHg, R44 times / min: lips mild cyanosis, pharyngeal hyperemia, lung breath sounds thick, can be heard and small and medium blisters sound, especially in the lungs at the end of the obvious; Positive, heart