高铁血红蛋白血症26例临床分析

[背景 ]食物中毒引起的高铁血红蛋白血症 ,包括青紫引起的肠原性紫绀及亚硝酸盐、硝酸盐、黄胺类、苯胺等多种药物或化学药品中毒 .它多发生在 3岁以上患儿 .[病例报告 ]临床表现为颜面青紫 ,尤以口唇、口周青紫为著 ,甲床青紫也较明显 ,此外还表现为全身皮肤青紫、恶心呕吐、腹痛及全身不适 .心肺检查正常 .严重者表现为青紫严重 ,精神差 ,头痛 ,头晕 ,周身乏力 ,腹疼 ,恶心呕吐 ,呼吸急促 ,无呼吸困难 ,心率加快 ,肺部听诊无异常 .[讨论 ]患儿应注意饮食卫生 ,规则服药 .

Clinical analysis of 26 cases of methemoglobinemia

BACKGROUND? The sitoxism induced methemoglobinemia includes the green vegetables induced enterogenous cyanosis and the medicament and chemical medicine poisoning of nitrite, nitrate, sulfonamides and aniline, et al , and occurs over 3 year old children. ?CASE REPORT? The clinical manifestation of sitoxism induced methemoglobinemia is facial cyanosis, especially on lips and perioral, cyanosis of nail bed, and furthermore systemic skin cyanosis, nausea and vomit, abdominaliga, general malaise, and normal cardiopulmonary examination. But serious one had severe cyanosis, inferior spirit, headache, swirl, whole body fatigue, abdominaliga, nausea and severe vomit, shortness of breath, accelerated heart rate, no dyspnea and abnormal pulmonary ausculatation. ?DISCUSSION? The patients with sitoxism induced methemoglobinemia should pay attention to sanitation of bite and sup and regularly taking medicine.