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[上呼吸道氨中毒的危重症及急诊医疗救治]

[Critical and emergency medical care in ammonia intoxication of upper respiratory tract].

作者信息

Lopatin B S, Golubeva T A

出版信息

Vestn Otorinolaringol. 1995 Mar-Apr(2):44-6.

PMID:7785156
Abstract

37 subjects were admitted to hospital after the accident which caused their exposure to liquid ammonia which produced respiratory lesions in 29 of them. The severity of the respiratory damage depended on oxygen insufficiency (stenosing laryngeal or tracheal bronchitis, pneumonia) and intoxication. Multimodality treatment resulted in cure of 24 patients, 3 patients improved, 2 patients died. The authors think it proper to place such victims into general hospitals where multiprofile care can be rendered including that of ENT specialist whose care proved necessary for the majority of the above patients. Subjects exposed to ammonia can be transported to distant hospitals as the symptoms worsen gradually.

摘要

37名受试者在事故后入院,事故导致他们接触了液态氨,其中29人出现了呼吸道损伤。呼吸道损伤的严重程度取决于缺氧(喉或气管支气管炎狭窄、肺炎)和中毒情况。多模式治疗使24名患者治愈,3名患者病情好转,2名患者死亡。作者认为,将此类受害者安置在综合医院是合适的,在那里可以提供多学科护理,包括耳鼻喉科专家的护理,事实证明,上述大多数患者都需要这种护理。随着症状逐渐加重,接触氨的患者可以被转运到较远的医院。

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