Binder L, Fredrickson L
Division of Emergency Medicine, Texas Tech University RAHC-El Paso 79905.
Am J Emerg Med. 1991 Jan;9(1):11-5. doi: 10.1016/0735-6757(91)90004-4.
A case report of an unresponsive chemist presenting to the emergency department is presented; in retrospect, the patient was discovered to have intentionally ingested cyanide. A review of literature regarding ingestions in laboratory and health care personnel reveals five common points encountered in these personnel: barbiturates, carbon monoxide, cyanide, azides, and methemoglobin-inducing chemicals. Key diagnostic findings, in the absence of history of exposure, are discussed for these five agents.
本文报告了一名昏迷的药剂师被送往急诊科的病例;经回顾,发现该患者故意摄入了氰化物。对有关实验室和医护人员中毒情况的文献进行综述后发现,这些人员中毒常见的有五点:巴比妥类药物、一氧化碳、氰化物、叠氮化物和能诱导高铁血红蛋白形成的化学物质。本文针对这五种物质讨论了在无接触史情况下的关键诊断依据。