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目的探讨儿童急性三氯异氰尿酸中毒的临床表现及实验室特征,为临床救治提供依据。方法回顾性分析l例儿童急性三氯异氰尿酸中毒的临床表现、实验室检查及治疗过程。结果患儿男,3岁5个月,误服三氯异氰尿酸9 h。中毒后主要表现为呕吐、昏迷、抽搐、呼吸急促等;患儿在15~20 h后呕吐、抽搐缓解,并伴有急性肺水肿、电解质紊乱。经救治后患儿未出现严重并发症,48 h后复查肝功能、心肌酶明显好转,7 d后治愈出院。结论本病例患儿急性三氯异氰尿酸中毒是以呕吐、昏迷、抽搐、呼吸急促、急性肺水肿、电解质紊乱为主要特征,采取积极有效的抢救措施是救治成功的关键。
Objective To investigate the clinical manifestations and laboratory characteristics of acute trichloroisocyanuric acid poisoning in children and provide the basis for clinical treatment. Methods A retrospective analysis of 1 cases of acute trichloroisocyanuric acid in children with clinical manifestations, laboratory tests and treatment. Results The male patient, 3 years and 5 months, was treated with trichloroisocyanuric acid 9 h. After poisoning, the main performance of vomiting, coma, convulsions, shortness of breath, etc .; children in 15 ~ 20 h after vomiting, convulsions ease, and accompanied by acute pulmonary edema, electrolyte imbalance. After treatment, there was no serious complication in children. After 48 hours, liver function was rechecked and myocardial enzyme was obviously improved. After 7 days, the patients were cured. Conclusions Acute trichloroisocyanuric acidosis in children with this condition is the main feature of vomiting, coma, convulsions, shortness of breath, acute pulmonary edema and electrolyte imbalance. Taking active and effective rescue measures is the key to successful treatment.