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急性硫化氢中毒后的迟发性神经精神后遗症:对运动功能、记忆、视觉和听觉的影响。

Delayed neuropsychiatric sequelae after acute hydrogen sulfide poisoning: affection of motor function, memory, vision and hearing.

作者信息

Tvedt B, Edland A, Skyberg K, Forberg O

机构信息

National Institute of Occupational Health, Oslo, Buskerud County Hospital, Drammen, Norway.

出版信息

Acta Neurol Scand. 1991 Oct;84(4):348-51. doi: 10.1111/j.1600-0404.1991.tb04967.x.

DOI:10.1111/j.1600-0404.1991.tb04967.x
PMID:1772008
Abstract

A shipyard worker was poisoned by hydrogen sulfide (H2S), and rescued after 15-20 min. He regained consciousness after 2 days. Three days later his condition deteriorated, and he was more or less comatose for a month. When he woke up, he was amnesic, nearly blind, had reduced hearing, and had a moderate spastic tetraparesis and ataxia. Two months after the accident, he had greatly improved. Audiograms showed hearing loss with maximum at 2000 Hz and significantly poorer speech discrimination. EEG showed generalized dysrhythmia. At follow-up 5 years later he had not been able to resume his work, and had slight motor, memory and visual symptoms. CT and MRI showed slight cerebral atrophy. EEG and evoked responses were normal.

摘要

一名造船厂工人硫化氢(H₂S)中毒,15至20分钟后获救。2天后苏醒。3天后病情恶化,昏迷近1个月。醒来后,他失忆,几乎失明,听力下降,有中度痉挛性四肢轻瘫和共济失调。事故发生2个月后,他有了很大改善。听力图显示在2000赫兹处听力损失最大,言语辨别能力明显较差。脑电图显示广泛性心律失常。5年后随访时,他无法恢复工作,有轻微的运动、记忆和视觉症状。CT和MRI显示轻度脑萎缩。脑电图和诱发电位正常。

相似文献

1
Delayed neuropsychiatric sequelae after acute hydrogen sulfide poisoning: affection of motor function, memory, vision and hearing.急性硫化氢中毒后的迟发性神经精神后遗症:对运动功能、记忆、视觉和听觉的影响。
Acta Neurol Scand. 1991 Oct;84(4):348-51. doi: 10.1111/j.1600-0404.1991.tb04967.x.
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