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吕某,男,39岁,某铅锌矿化工厂厂长。该厂硫酸锌车间系用含锌矿渣(有砷杂质)精炼后与硫酸反应制成硫酸锌,副产品有砷化氢。1991年10月27日上午10时在硫酸锌生产车间抢修漏气管道约10分钟,下午5时感乏力,面色发黄,晚11时全腹持续性胀痛,尤以下腹为重。翌晨3时排酱油色尿,随即晕厥在地,约5分钟后清醒,感头痛、头晕、恶心、多汗,被送至县医院,经吸氧和输液等治疗后,于10月28日夜由医护人员护送转至我院,途中12小时继续作对症处理。至入院时共排出酱油色尿约5000ml。既往体健,家族中无特殊病史。 体格检查 T36℃,P84次/分,R28次/分,BP14/8.5kPa。患者痛苦呻吟,精神萎靡,古铜色面容,全身皮肤粘膜重度黄染。双肺呼吸音粗,心律齐,
Lv Mou, male, 39 years old, director of a lead-zinc mineral chemical plant. Zinc sulfate plant in the plant with zinc slag (with arsenic impurities) after the reaction with sulfuric acid made of zinc sulfate, by-product hydrogen arsine. On October 27, 1991 at 10 o’clock in the zinc sulfate repair workshop leak repair pipeline for about 10 minutes, 5 pm feeling fatigue, looking yellow, 11 full abdomen late persistent pain, especially in the lower abdomen. The next morning at 3 o’clock row of soy sauce color urine, then faint to the ground, awake about 5 minutes later, a sense of headache, dizziness, nausea, sweating, was sent to the county hospital, after oxygen and infusion and other treatment, on October 28 night Escorted by medical staff to our hospital, on the way to continue symptomatic treatment for 12 hours. When discharged to discharge a total of soy sauce color urine about 5000ml. Past physical health, no special family history. Physical examination T36 ℃, P84 times / min, R28 times / min, BP14 / 8.5kPa. Patients moan groaned, apathetic, bronze face, systemic skin and mucous membrane severe yellow dye. Breath sounds coarse lungs, rhythm Qi,