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本文报告了一例因吸入市售去涂料剂发生的二氯甲烷所致之重度一氧化碳中毒。患者20岁,女美工学生。干通风不良的房间内使用市售去涂料剂时,出现恶心和严重搏动性头痛。约一小时后离开房间,感觉头晕和不适,很快即丧失意识。患者人急诊室时意识清楚,但有时、空定向力障碍。皮肤、粘膜呈明显樱桃红色。脉搏98次/分,血压120/70 mmHg。心血管系统、呼吸系统和腹部均正常。Hb 13.7 g/100 ml,WBC7,300/mm~2。入院时COHb为50%。胸片和心电图正常。
This article reports a case of severe carbon monoxide poisoning caused by inhalation of methylene chloride, a commercially available de-coating agent. Patient 20 years old, female art student. Nausea and severe pulsatile headaches occur when using commercially available paint removers in poorly ventilated rooms. After about an hour left the room, feeling dizzy and discomfort, and soon lost consciousness. Patients are well aware of the emergency room, but sometimes they have empty directional dysfunctions. Skin, mucous membrane was obviously cherry red. Pulse 98 beats / min, blood pressure 120/70 mmHg. Cardiovascular system, respiratory system and abdomen are normal. Hb 13.7 g / 100 ml, WBC7, 300 / mm ~ 2. COHb admission was 50%. Chest radiography and electrocardiogram normal.