对急性气体中毒治疗的新认识

目的：总结急性气体中毒的临床特点和治疗体会。方法：利用急性中毒调查表分析57例急性气体中毒病人的毒物接触史、临床情况。结果：本组病人20岁至29岁年龄组占比例最高(57.9％)，防护不周引起中毒占93．0％，一氧化碳(32．2％)居毒物种类首位，油漆(30．5％)其次，共有13例出现并发症(22．8％)，死亡5例(8．8％)。结论：有毒有害气体引起中毒危害最大的是化学性肺水肿和中毒性脑病，急性气体中毒强调综合性治疗，预防措施包括加强企业安全劳动防护制度管理，生产作业安全操作等。

A New Cognition on Clinical Treatment of Acute Gas Poisoning

Objective: To summary the clinical characteristics and treatment of acute gas poisoning. Methods: A prospective observational study was conducted for acute gas poisoning cases from June 2001 to February 2003. Results: 57 acute gas poisoning cases were collected in the study. The 20-29s of the patients was most common. The common reason of poisoning were lack protection (93.0%). Carbon monoxide was the most common poison (32.2%), paint next (30.5%). 13 cases(22.8%)had complications. 5 cases(8.8%)died. Conclusion: The most severe status from acute gas poisoning is chemical pulmonary edema and cerebral edema. A management of the poisoned patients needs a complex treatment. Preventive measures include to enhance the management of enterprise's protection and safe operation in labor and so on.