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病例报告 例1:归××,男,27岁,住院号:169876,某化工厂农药车间工人,该厂生产苯乙烯胺时用硫磺在高达500～600℃下烧结,可以产生硫化氢气体。正常情况下,硫化氢通过三废废气管安全处理。1972年8月7日,该工人夜班时工作不慎,吸入管道中放出的硫化氢气体约10分钟左右,昏倒在地,面色苍白,呼吸困难,立即作人工呼吸,注射美蓝1％30ml2支,加50％葡萄糖40ml,送当地医院急救,病人烦躁不安,在地上打滚,注射Amytal0.3,Luminal0.1,水合氯醛20ml留置灌肠等镇静药处理,中毒后6小时转入我院急诊,诊断为重度急性硫化氢中毒,收入病房,此时体检所见:神志昏迷,面色苍白,呼吸急促,血压:110/70mmHg,瞳孔细小,直径约0.1～0.15cm,
Case Report 1: × ×, male, 27 years old, hospital number: 169876, a chemical plant pesticide plant workers, the plant production of styrene amine with sulfur up to 500 ~ 600 ℃ sintering, can produce hydrogen sulfide gas. Under normal conditions, hydrogen sulfide is safely disposed of by the waste gas pipelines. August 7, 1972, the workers work carelessly at night, inhaled hydrogen sulfide gas pipe about 10 minutes, collapsed to the ground pale, breathing difficulties, immediately artificial respiration, injection of methylene blue 1% 30ml2 branch , Plus 50% glucose 40ml, sent to the local hospital for first aid, the patient irritability, rolling on the ground, injection Amytal0.3, Luminal0.1, chloral hydrate 20ml indwelling enema and other sedatives, 6 hours after poisoning into our hospital emergency room, Diagnosis of severe acute hydrogen sulfide poisoning, income wards, at this time the physical examination see: delirium, pale, shortness of breath, blood pressure: 110 / 70mmHg, pupil small diameter of about 0.1 ~ 0.15cm,