儿童吸入磷化铝中毒81例临床分析

发布时间：2018-03-26 01:30

本文选题：磷化铝中毒　切入点：儿童　出处：《广东医学》2017年S1期

【摘要】：目的总结吸入磷化铝中毒患儿的临床表现及特点。方法回顾性分析吸入磷化铝中毒患儿资料。结果 81例患儿中男46例,女35例,发病年龄1~13岁,平均(6.64±3.48)岁,平均住院时间(2.71±1.48)d;均有接触史。主要临床表现为恶心、呕吐或腹痛等消化道症状(100%),头痛、头晕(67.2%),胸闷、乏力(62.37%),心悸(52.17%,5岁)。总病死率12.34%~17.44%(10/81~15/86,包括5例门诊死亡病例)。10例住院死亡病例中,有6例伴心源性休克,4例有低血压,合并多器官功能损伤3例,5例出现严重心律失常,1例有肺出血。结论儿童吸入磷化铝中毒病死率较高,心血管系统损伤是主要死亡原因。高发季节应避免中毒,减少误诊,早期治疗可降低病死率。
[Abstract]:Objective to summarize the clinical manifestations and characteristics of children with inhaled aluminum phosphide poisoning. Methods the data of 81 children with inhaled aluminum phosphate poisoning were retrospectively analyzed. Results there were 46 males and 35 females, with an average age of 6.64 卤3.48 years old. The average hospitalization time was 2.71 卤1.48 days. The main clinical manifestations were nausea, vomiting or abdominal pain. The main clinical manifestations were nausea, vomiting or abdominal pain, headache, dizziness, 67.22cm, chest tightness, fatigue 62.37D, palpitations 52.1717, 55.The total mortality rate was 12.3417.4410.81% 1586, including 5 out-patient death cases or 10 inpatient deaths. There were 6 cases with cardiogenic shock and 4 cases with hypotension, 3 cases with multiple organ function injury, 5 cases with severe arrhythmia and 1 case with pulmonary hemorrhage. Cardiovascular system injury is the main cause of death.
【作者单位】：阜阳市人民医院儿科;
【分类号】：R725.9

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