急性重度氯气中毒22例临床分析

目的探讨急性重度氯气中毒临床特点、治疗方法。方法对22例急性重度氯气中毒患者进行回顾性分析。结果病情严重程度与接触氯气的浓度、时间呈正相关。临床表现包括刺激性咳嗽22例(100%),胸闷22例(100%),肺部干湿罗音22例(100%),约1/2患者出现白细胞升高,胸部X片肺部有阴影者14例(64%)。结论氯气中毒及时纠正低氧血症可避免肝、肾、心肌损害。早期大剂量糖皮质激素 高浓度给氧 对症处理可迅速控制病情,低氧难以纠正者须BiPAP呼吸机辅助呼吸。

Clinical analysis of 22 cases of acute chlorine gas poisoning

Objective To survey the clinical characteristic and therapeutic effcts of persons affected by acute chlorine gas poisoning.Methods A retrospective study in 22 patients who were severely affected by chlorine gas was conducted.Results All of 22 patients were hospitalized. The presenting symptoms included stimulate cough and chest breath. In physical examination, 22 patients (100%) had humid role of lung, and leukocytes was found hoist in about half of the patients. Chest X rays showed that 14 patients (64%) were abnormal. All of the patients were treated with O~2 and steroid. But the therapy was inadequate to six patients with severe dyspnea. These patients needed Bi-PAP to breathe.Conclusion In our study, respiratory tract findings were predominant in all the patients. Timely treatment is necessary to avoid possible further damage to other organs and death of patients.