论文部分内容阅读
目的:通过对5例急性硫化氢(H2S)中毒患者的救治体会从而总结有效治疗方案。方法:分析5例硫化氢中毒患者的症状、治疗方案、预后情况等。结果:经(7~21)日住院治疗后,4例患者顺利康复出院,1例患者出现少动、少语、记忆力消退等后遗症。结论:H2S中毒目前尚无特效解毒剂,在尽快将患者脱离中毒现场后,治疗的关键在于迅速纠正缺氧,并恢复细胞内呼吸,积极预防并治疗脑水肿和肺水肿。高压氧对脑血管有收缩作用,丰富氧供,既能纠正脑组织的缺氧,又能降低颅内压,减轻脑水肿,同时在高压氧条件下,椎动脉的血流量增加,网状激活系统和脑干等处的氧分压能相对增高,有利于改善生命机能活动,促进苏醒。
Objective: To summarize the effective treatment plan through the treatment of 5 patients with acute hydrogen sulfide (H2S) poisoning. Methods: Five cases of hydrogen sulfide poisoning in patients with symptoms, treatment options, prognosis and so on. Results: After hospitalized on (7 ~ 21) days, 4 patients were recovered and discharged smoothly. One patient developed sequelae of sedentary, absent language and memory loss. Conclusions: There is no specific antidote for H2S poisoning. After the patient is exited from poisoning site as soon as possible, the key of treatment is to correct hypoxia quickly and restore intracellular respiration, and to prevent and treat cerebral edema and pulmonary edema actively. Hyperbaric oxygen on cerebrovascular contraction, rich oxygen supply, both to correct brain hypoxia, but also reduce intracranial pressure, reduce cerebral edema, while hyperbaric oxygen conditions, the vertebral artery blood flow increased reticular activation System and brainstem oxygen partial pressure can be relatively higher, is conducive to improving life activity, and promote recovery.