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硫酸二甲酯经呼吸道、皮肤、消化道吸收中毒。中毒快,救治困难,病死率高。2001年5月27日,我们收治14例,救治体会如下。1临床资料1.1一般资料男10例,女4例;年龄25～45岁,平均35岁。病因:检修管道致硫酸二甲酯泄漏中毒。检修工8例,搬运工4例,车内休息2例。1.2临床表现14例均有不同程度的中毒反应,眼、咽喉烧灼痛伴充血及鼻腔流黄色液体。咽喉部堵塞感伴呼吸困难8例,口腔粘膜溃疡3例,肺水肿2例。1.3实验室检查10例周围白细胞总数为(10～12.6)×109/L。生化检查均正常。X线胸部检查示肺炎5例,肺水肿2例。
Dimethyl sulfate by the respiratory tract, skin, gastrointestinal absorption poisoning. Poisoning fast, difficult to treat, high fatality rate. May 27, 2001, we admitted 14 cases, treatment experience is as follows. 1 Clinical data 1.1 General Information 10 males and 4 females; aged 25 to 45 years, mean 35 years. Etiology: Pipeline caused by leakage of dimethyl sulfate poisoning. Overhaul workers in 8 cases, porters in 4 cases, 2 cases of rest in the car. 1.2 Clinical manifestations 14 cases have varying degrees of toxic reactions, eye, throat burning with congestion and nasal flow of yellow liquid. Throat blockage with dyspnea in 8 cases, 3 cases of oral mucosal ulcer, pulmonary edema in 2 cases. 1.3 laboratory examination in 10 cases the total number of leukocytes (10 ~ 12.6) × 109 / L. Biochemical tests are normal. Chest X-ray examination showed 5 cases of pneumonia, pulmonary edema in 2 cases.