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1988年6月23日,我县某酒家误把氟硅酸钠当作小苏打发馒头,而致160人急性中毒,其中5人死亡,现将临床特征和死亡情况分析如下。临床资料死亡5例中,男性3例,女性2例,年龄35～79岁,平均52.4岁。中毒剂量1.11～3.33g。潜伏期10～30分钟。临床表现:恶心、呕吐、腹痛、腹泻、四肢麻木和发绀(5例),发热(T37.6～40.5℃)、胸闷和气急(4例),昏迷、低血压、少尿、肺水肿和酸中毒(3例),抽搐(2例),腹水及DiC(1例)。心电图示明显心肌损害(5例)。
On June 23, 1988, a restaurant in our county mistakenly treated sodium fluosilicate as baking bread in baking soda and caused 160 acute poisonings, of which 5 were dead. The clinical features and death status are now analyzed as follows. Clinical data of 5 cases of death, 3 males and 2 females, aged 35 to 79 years, mean 52.4 years. Poisoning dose 1.11 ~ 3.33g. Incubation period of 10 to 30 minutes. Clinical manifestations: nausea, vomiting, abdominal pain, diarrhea, numbness and cyanosis of limbs (5 cases), fever (T37.6-40.5 ° C), chest tightness and shortness of breath (4 cases), coma, hypotension, oliguria, pulmonary edema and acid Poisoning (3 cases), convulsions (2 cases), ascites and DiC (1 case). ECG showed significant myocardial damage (5 cases).