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丙烯腈属高毒物质,由于用途广泛,接触机会日益增多,急性中毒病例虽屡有报告,但继发多发性神经炎的病例极少见,故将我院收治1例报告如下:病例摘要××,男,37岁,某化工厂装卸工人,住院日期:1986年12月23日。病史:该患者于12月17日晨往货车上装运丙烯腈罐。1小时后发现有6个罐滴漏,丙烯腈液已流满车厢底部,赶紧往外倒运罐时,患者的手套、鞋底均被药液湿透、未经洗换。中午时患者感到头昏、恶心、呕吐、咳嗽、流泪、周身乏力、行路蹒跚。
Acrylonitrile is a highly toxic substance. Due to the wide range of uses and increasing opportunities for exposure, acute poisoning has been reported frequently. However, rare cases of secondary polyneuritis are reported. One case reported in our hospital is as follows: Case Summary × ×, male, 37 years old, a chemical factory loading and unloading workers, hospitalization date: December 23, 1986. Medical history: The patient shipped acrylonitrile cans on trucks on the morning of December 17. After 1 hour, 6 cans of drip were found. Acrylonitrile solution had flowed to the bottom of the carriage. When the cans were drained out of the carriage, the gloves and soles of the patients were thoroughly drenched by the chemicals and untreated. At noon, patients feel dizzy, nausea, vomiting, coughing, tearing, whole body fatigue, staggering road.