儿童磷化铝中毒6例临床分析

目的分析儿童磷化铝中毒的临床特点及治疗情况。方法回顾性分析2015-07~2018-06在该院确诊的6例磷化铝中毒患儿的临床资料。结果6例患儿中,男4例,女2例,年龄1岁5个月~10岁。患儿均有呕吐、精神差,年龄较大者自诉有头晕,其中2例(年龄均为1岁6个月)合并心力衰竭。入院后经综合治疗,4例学龄期儿童1周左右病情缓解出院,2例婴幼儿抢救无效家属放弃治疗。结论儿童磷化铝中毒临床表现不典型,婴幼儿病死率高,心血管系统损伤是主要死亡原因,目前无特效治疗方法,预防很重要。

Clinical analysis of 6 cases of aluminum phosphide poisoning in children

Objective To analyze the clinical characteristics and treatment of aluminum phosphide poisoning in children.Methods The clinical data of 6 cases of aluminum phosphide poisoning diagnosed in our hospital from July 2015 to June 2018 were retrospectively analyzed.Results Among the 6 cases,there were 4 males and 2 females,ranging in age from 1 year and 5 months to 10 years.All of the patients had vomiting and poor spirit.The older patients complained of dizziness.Two patients(both aged 1 year and 6 months,respectively)were complicated with heart failure.After admission,the patients received comprehensive treatments,4 school-age children were discharged from the hospital after one week′s remission,and the family members of 2 infants gave up the treatment because all rescue measures proved ineffectual.Conclusion The clinical manifestations of aluminum phosphide poisoning are not typical in children and the mortality of infants is high,and cardiovascular system damage is the main cause of death.At present,there are no special antidotes,so prevention is very important.