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三氯乙烯中毒1例死亡的调查分析
引用本文:徐新云,李戈怡,杜群芳,张志光,杨荣兴. 三氯乙烯中毒1例死亡的调查分析[J]. 职业与健康, 2007, 23(2): 91-92
作者姓名:徐新云  李戈怡  杜群芳  张志光  杨荣兴
作者单位:广东省深圳市疾病预防控制中心毒理研究室,518020
摘    要:目的探讨三氯乙烯中毒病例的主要临床表现并分析其死亡原因。方法测定患者的工作场所空气中三氯乙烯浓度,调查病人的主要症状与体征,对病人进行血常规、尿常规和肝功能检查。结果三氯乙烯中毒病人出现皮肤红斑、皮疹、巩膜黄染、肝肿大、肝功能明显异常,ALT 538U/L,AST 426.7U/L,T—BIL 219μmol/L,患者因昏迷、呼吸心跳停止而死亡。结论三氯乙烯中毒主要引起皮肤和肝脏损害,病情进展迅速,治疗不及时或治疗不当易导致死亡。

关 键 词:三氯乙烯  中毒  皮肤  肝脏
文章编号:1004-1257(2007)02-0091-02
收稿时间:2006-05-18
修稿时间:2006-05-18

Investigation of a Death Case of Trichloroethylene Poisoning
XU Xin-yun, LI Ge-yi, DU Qun-fang,et al.. Investigation of a Death Case of Trichloroethylene Poisoning[J]. Occupation and Health, 2007, 23(2): 91-92
Authors:XU Xin-yun   LI Ge-yi   DU Qun-fang  et al.
Affiliation:Shenzhen Center for Disease Prevention and Control, Guangdong, 518020, China
Abstract:[Objective]To explore the major clinical manifestations of trichloroethylene poisoning and analyze the causes for death.[Methods]Trichloroethylene concentration in the workplace air was determined;examination was done on the patient's symptoms,signs,regular blood test,regular urine test and liver function.[Results]Trichloroethylene-poisoned patients were found with red specks,skin rash,yellow sclera,enlarged liver and abnormal liver function;ALT 538U/L,AST 426.7U/L,T-BIL 219 mol/L,and finally died of coma,respiration failure and heart failure.[Conclusion]Trichloroethylene poisoning mainly causes skin and liver damages,deteriorates rapidly and might causes death in case of improper treatment.
Keywords:Trichloroethylene    Poisoning   Skin    Liver
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