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氨是由氮气和氢气化合反应所制取的,是有特殊臭味和强烈刺激性的气体。工业上利用氨易溶于水的性质用水吸收氨制成氨水。它属于弱碱类。浓氨水(约20%)是良好的氮肥,已广泛应用于农业生产。若使用不当,常可造成皮肤、呼吸道粘膜的损伤。若口服氨水,胃肠道可发生碱性灼伤,引起溃疡、糜烂、甚至穿孔。直接口服氨水极其少见,我院遇到并发消化道大出血的1例,最终治愈。现报道如下:一、病例介绍及救治经过胡××,女,28岁,农民。于1981年3月30日因口服农用氨水半碗(约150毫升),而立即发生剧烈腹痛、呕血性胃内容物约200毫升,2小时后,急诊入院。入院前未作任何处理.入院时查体:急性重病容,面色苍白,四肢厥冷,体温30.8℃,脉搏100次/分,血压103/86毫米汞柱。口唇
Ammonia is made by the reaction of nitrogen and hydrogen gas, is a special smell and strong irritant gas. Industrial use of ammonia-soluble nature of the water absorbed ammonia ammonia water. It is a weak base. Concentrated ammonia (about 20%) is a good nitrogen fertilizer that has been widely used in agricultural production. If used improperly, can often cause skin, respiratory mucosal damage. If oral ammonia, gastrointestinal alkaline burn can occur, causing ulcers, erosion, and even perforation. Direct oral ammonia is extremely rare, our hospital encountered concurrent gastrointestinal bleeding in 1 case, the final cure. Reported as follows now: First, the case introduction and treatment After Hu XX, female, 28 years old, farmer. On March 30, 1981 due to oral administration of agricultural ammonia half bowl (about 150 ml), but immediately severe abdominal pain, hematemesis stomach content of about 200 ml, 2 hours after emergency admission. Admission without any treatment. Admission examination: acute serious illness, pale, limbs Jueleng, body temperature 30.8 ℃, pulse 100 beats / min, blood pressure 103/86 mm Hg. Lips