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目的:总结急性炮烟中毒的救治经验。方法:收集2007年10月至2009年11月期间我院收治的炮烟中毒患者的临床资料,进行回顾性分析。结果:共收治6例患者,均为男性,平均年龄38(34～43)岁,发病的时间为3～120 min。6例患者均出现头晕、头痛、恶心、呕吐及全身乏力,其中有的患者伴有意识障碍(4例)、抽搐(1例)、尿失禁(2例)及呼吸困难(2例)。胸部检查示支气管周围炎和双肺间质性炎症各1例。脑电图检查示散在低波幅慢波1例。6例患者经高压氧和对症支持治疗后全部好转出院,其中2例仍有轻度头晕和头痛。结论:早期诊断并及时应用高压氧和对症支持治疗是成功救治急性炮烟中毒的有效措施。
Objective: To summarize the experience of treatment of acute artillery poisoning. Methods: The clinical data of patients with poisoned canine smoke admitted to our hospital from October 2007 to November 2009 were collected and analyzed retrospectively. Results: A total of 6 patients were enrolled, all of whom were male. The mean age was 38 (34-43) years and the onset time was 3 to 120 minutes. All 6 patients had dizziness, headache, nausea, vomiting and generalized weakness. Some of them had disturbance of consciousness (4 cases), convulsions (1 case), incontinence (2 cases) and dyspnea (2 cases). Chest examination showed bronchial inflammation and interstitial lung inflammation in 1 case. EEG showed scattered in low amplitude slow wave in 1 case. Six patients were all discharged after hyperbaric oxygen therapy and symptomatic supportive care. Two of them were still mild dizziness and headache. Conclusion: Early diagnosis and timely use of hyperbaric oxygen and symptomatic supportive care are effective measures to successfully treat acute canine poisoning.