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二巯丙磺钠(Na-DMPS)是重金属络合剂,能与金属离子形成不易解离的络合物,临床上常作为治疗汞中毒的首选药物[1]。我院成功抢救了1例使用二巯丙磺钠治疗汞中毒过程中出现过敏性休克的病例,现报告如下。1临床资料患者,男,44岁,接汞作业7年,近3年出现睡眠障碍。入院查体:T 36.7℃,P 74次/min,R 18次/min,BP 130/70mm Hg,发育正常,意识清楚,心肺无异常,肝脾肋下未触及,三颤征阳性;实验室检查:尿汞66μg/g肌酐。诊断为汞中毒。给予二巯丙磺钠0.25 g每日1次肌内注射。患者于第
Sodium dimercaptopropane sulfonate (Na-DMPS) is a heavy metal complexing agent that can form dissociation complexes easily with metal ions, and is often the first choice for the treatment of mercury poisoning in clinic [1]. Our hospital successfully rescued 1 case of use of dimercaptopropane sodium in the treatment of mercury poisoning in the process of anaphylactic shock cases are as follows. 1 Clinical data Patients, male, 44 years old, followed by mercury work for 7 years, nearly 3 years of sleep disorders. Admission examination: T 36.7 ℃, P 74 times / min, R 18 times / min, BP 130 / 70mm Hg, normal development, consciousness clear, no abnormal heart and lung, liver and spleen ribs were not touched, Check: urinary mercury 66μg / g creatinine. Diagnosed as mercury poisoning. Give 0.25 mg sodium dimercaptopropane sulpate intramuscularly once daily. Patients in the first