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硫酸铜引起溶血性贫血较罕见,国外Dacie(1967年)曾发现一例由硫酸铜所致严重溶血及血红蛋白尿;Haitzmann(1966年)报道一例因皮肤灼伤,反复应用硫酸铜结晶而致溶血。我们曾遇一例误服硫酸铜引起溶血性贫血,现报告如下。男,22岁,住院号84610。1984年6月15日入院。患者因恋受纠纷,于入院前2小时口服98％硫酸铜约20ml。服后半小时开始上腹疼痛,呈阵发性钝痛,伴呕吐胃内容物一次,无腹泻。被急送我院。患者7岁时曾患黄疸型肝炎,治愈。体查:体温36℃,脉搏80次,呼吸20次,血压100/60。神志清楚,对答切题,无气促,巩膜无黄染。上腹轻压痛。入院诊断:硫酸铜中毒。住院经过:患者入院后给予2％碳酸氢钠5000ml洗胃,硫酸镁30g导泻,5％葡萄糖液、5％葡萄糖
Copper sulfate causes hemolytic anemia is rare, foreign cases of Dacie (1967) had found a case of severe copper sulfate-induced hemolytic and hemoglobinuria; Haitzmann (1966) reported a case of skin burns, repeated application of copper sulfate crystallization hemolysis. We have encountered a case of mistreatment of copper sulfate hemolytic anemia, are as follows. Male, 22 years old, hospital number 84610. June 15, 1984 admission. Patients suffering from disputes by love, oral administration of 98% copper sulfate about 20ml 2 hours before admission. Half an hour after the onset of abdominal pain, was paroxysmal dull pain, vomiting stomach contents once, without diarrhea. Was sent to our hospital. Patient at age 7 had jaundice hepatitis, cured. Physical examination: body temperature 36 ℃, pulse 80 times, breathing 20 times, blood pressure 100/60. Consciousness, the answer questions, no shortness of breath, Sclera no yellow dye. Soft abdomen tenderness. Admission diagnosis: copper sulfate poisoning. After hospitalization: patients admitted to the hospital given 2% sodium bicarbonate 5000ml gastric lavage, magnesium sulfate 30g catharsis, 5% glucose solution, 5% glucose