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本文报告11例新生儿误服硼酸引起的急性中毒,造成5例死亡。作者在复习文献中指出,硼酸中毒多见于1岁以下的幼儿,而其中以新生儿死亡率为最高。急性硼酸中毒,典型的临床表现为持续性的呕吐以及大量干呕,但在作者所观查到的病例呕吐并不剧烈,呕吐物皆为蓝缘色;腹泻多见,其色与呕吐物色同,且多有粘液;中毒后的短时间内在咀的周围和臀部与会阴上有红斑,迅即泛及全身,以手心,脚板色最红,以后皮肤变薄而脱皮,严重时甚至大片剥脱;中枢神经系统中毒症状为高声哭叫、激烈的震惊反射、角弓反张、凝视和忧虑的面部表现、惊厥、谵妄和昏迷;少尿和无尿也多见。试验室发现皆有高钠血、高氯血和代谢
This article reports the 11 cases of newborns boric acid boric acid poisoning caused acute poisoning, resulting in 5 deaths. The authors pointed out in a review of the literature that boric acidosis is more common in children under 1 year of age, with the highest neonatal mortality rate. Acute boric acidosis, the typical clinical manifestations of persistent vomiting and a lot of retching, but in the authors observed cases of vomiting is not severe, vomitus are blue edge color; diarrhea more common, the color and vomit color , And more mucus; poisoning after a short period of time around the mouth and the buttocks and the perineum with erythema, pan and body immediately to the palm, the color of the most red, after the skin thinning and peeling, serious or even a large exfoliation; central Symptoms of nervous system poisoning are loud crying, intense shock reflexes, angular bow reverse, gaze and anxiety facial expressions, convulsions, delirium and coma; oliguria and anuria are more common. Laboratory found that all have high blood sodium, high blood chlorine and metabolism