Song L L, Yu J H, Hu X L, Li X
Occupational Disease Department, the Affiliated Weihai Second Municipal Hospital of Qingdao University, Weihai 264200, China.
Shandong First Medical University (Shandong Academy of Medical Sciences, Shandong Academy of Occupational Health and Occupational Medicine), Jinan 250062, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2022 Jul 20;40(7):529-531. doi: 10.3760/cma.j.cn121094-20220120-00035.
The main component of the gas in the fish storage tank is hydrogen sulfide. Hydrogen sulfide poisoning is a common occupational chemical poisoning among fishermen in summer, and acute hydrogen sulfide poisoning can manifest as toxic encephalopathy. This paper analyzes a patient with delayed encephalopathy suspected of acute hydrogen sulfide poisoning. The patient was unconscious for 18 days after waking up for 5 days after acute hydrogen sulfide poisoning. After waking up again, there were symptoms such as decreased limb muscle strength, ataxia, swallowing, dysarthria, and the clinical characteristics were significantly different from those of delayed encephalopathy caused by acute carbon monoxide poisoning, such as decreased cognitive function and damage to extrapyramidal system.
鱼类储存罐内气体的主要成分是硫化氢。硫化氢中毒是夏季渔民中常见的职业性化学中毒，急性硫化氢中毒可表现为中毒性脑病。本文分析1例疑似急性硫化氢中毒迟发性脑病患者。该患者急性硫化氢中毒清醒5天后又昏迷18天。再次清醒后出现肢体肌力下降、共济失调、吞咽及构音障碍等症状，临床特点与急性一氧化碳中毒所致迟发性脑病如认知功能减退、锥体外系损害等明显不同。
