本文選題：磷化鋁中毒　切入點：兒童　出處：《廣東醫(yī)學(xué)》2017年S1期

【摘要】：目的總結(jié)吸入磷化鋁中毒患兒的臨床表現(xiàn)及特點。方法回顧性分析吸入磷化鋁中毒患兒資料。結(jié)果 81例患兒中男46例,女35例,發(fā)病年齡1~13歲,平均(6.64±3.48)歲,平均住院時間(2.71±1.48)d;均有接觸史。主要臨床表現(xiàn)為惡心、嘔吐或腹痛等消化道癥狀(100%),頭痛、頭暈(67.2%),胸悶、乏力(62.37%),心悸(52.17%,5歲)�？偛∷缆�12.34%~17.44%(10/81~15/86,包括5例門診死亡病例)。10例住院死亡病例中,有6例伴心源性休克,4例有低血壓,合并多器官功能損傷3例,5例出現(xiàn)嚴重心律失常,1例有肺出血。結(jié)論兒童吸入磷化鋁中毒病死率較高,心血管系統(tǒng)損傷是主要死亡原因。高發(fā)季節(jié)應(yīng)避免中毒,減少誤診,早期治療可降低病死率。
[Abstract]:Objective to summarize the clinical manifestations and characteristics of children with inhaled aluminum phosphide poisoning. Methods the data of 81 children with inhaled aluminum phosphate poisoning were retrospectively analyzed. Results there were 46 males and 35 females, with an average age of 6.64 鹵3.48 years old. The average hospitalization time was 2.71 鹵1.48 days. The main clinical manifestations were nausea, vomiting or abdominal pain. The main clinical manifestations were nausea, vomiting or abdominal pain, headache, dizziness, 67.22cm, chest tightness, fatigue 62.37D, palpitations 52.1717, 55.The total mortality rate was 12.3417.4410.81% 1586, including 5 out-patient death cases or 10 inpatient deaths. There were 6 cases with cardiogenic shock and 4 cases with hypotension, 3 cases with multiple organ function injury, 5 cases with severe arrhythmia and 1 case with pulmonary hemorrhage. Cardiovascular system injury is the main cause of death.
【作者單位】： 阜陽市人民醫(yī)院兒科;
【分類號】：R725.9

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