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患者男性,29岁,钨矿工人。因矿井内炸药意外爆炸,吸入毒气约40分钟,当时无不适,4小时后突然头昏、恶心、胸闷气促,该院以“氮氧化物中毒”而收入院治疗。入院时查体:体温38℃,脉搏110次/分,呼吸70次/分,血压17.33/6.00KPa。神志恍惚,呼吸困难.皮肤湿润,口唇、四肢发绀,口吐粉红色泡沫痰,头颈部及右肩部肿胀。两肺中下野可闻及湿性罗音。血红蛋白125g/L,红细胞411×10~(12)/L,白细
Male patient, 29 years old, tungsten worker. Due to an accidental explosion of explosives in the mine, gas was inhaled for about 40 minutes without any discomfort at the time. Sudden dizziness, nausea and chest tightness were found after 4 hours. The hospital treated “nitrogen oxide poisoning” and income hospital. Admission examination: body temperature 38 ℃, pulse 110 beats / min, breathing 70 beats / min, blood pressure 17.33 / 6.00KPa. Disorientation, difficulty breathing, moist skin, lips, cyanotic extremities, phlegm mouth spit pink foam, head and neck and right shoulder swelling. The middle and lower lungs of both lungs can be heard wet rales. Hemoglobin 125g / L, red blood cells 411 × 10 ~ (12) / L, white