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用雾化碳酸氢钠治疗急性氯气吸入

Treatment of acute chlorine gas inhalation with nebulized sodium bicarbonate.

作者信息

Vinsel P J

机构信息

Emergency Medicine Residency, Darnall Army Community Hospital, Ft. Hood, TX 76544.

出版信息

J Emerg Med. 1990 May-Jun;8(3):327-9. doi: 10.1016/0736-4679(90)90014-m.

DOI:10.1016/0736-4679(90)90014-m
PMID:2165079
Abstract

Three male patients, 19 to 20 years old, were exposed to chlorine gas secondary to a leak in the chlorination system of an indoor pool. All of the patients were symptomatic with cough, chest pain, and shortness of breath. Physical examinations, arterial blood gases, and chest radiographs were normal. All patients were given a nebulized solution of 3.75% sodium bicarbonate which resulted in prompt relief of their symptoms. None of the patients suffered from prolonged symptomatology. This therapy appears to be useful in treating chlorine gas inhalation; however, it cannot be routinely recommended without prospective clinical studies evaluating its efficacy and safety.

摘要

三名年龄在19至20岁的男性患者,因室内游泳池氯化系统泄漏而接触到氯气。所有患者均出现咳嗽、胸痛和呼吸急促等症状。体格检查、动脉血气分析和胸部X光片均正常。所有患者均接受了3.75%碳酸氢钠雾化溶液治疗,症状迅速缓解。没有患者出现长期症状。这种疗法似乎对治疗氯气吸入有用;然而,在没有前瞻性临床研究评估其疗效和安全性的情况下,不能常规推荐使用。

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