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目的探讨急性有机氟吸入损伤的临床发病特征及救治要点。方法对176例急性有机氟吸入损伤病例从临床表现、辅助检查、治疗措施及转归方面进行回顾性临床分析。结果 176例病例经采用氧疗和糖皮质激素等综合治疗措施后,除5例死亡外,其余均抢救成功①应高度重视潜伏期的医学观察和预防性治疗;②早期足量使用糖皮质激素是防治化学性肺水肿的关键措施;③首次激素用量不足或激素过快减量是治疗失败的主要原因。
Objective To investigate the clinical features of acute organic fluorine inhalation injury and its main points of treatment. Methods Retrospective clinical analysis of 176 patients with acute inhalation of organic fluorine from clinical manifestations, laboratory examinations, treatment measures and prognosis were retrospectively analyzed. Results 176 cases were treated with oxygen therapy and glucocorticoid and other comprehensive treatment measures, except for 5 cases of death, the other were successful rescue ① should pay great attention to the latency of medical observation and preventive treatment; ② adequate early use of glucocorticoid Prevention and treatment of chemical pulmonary edema key measures; ③ for the first time lack of hormone or hormone fast reduction is the main reason for treatment failure.