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长时间在紫外线灯直射下工作所致抽搐、昏迷较罕见,现将作者所遇2例报告如下: 临床资料2例均为女性,年龄18和40岁,发病前在紫外线灯下工作8～10h后发生昏迷、四肢抽搐。入院时T,P,R,BP均正常。颈软,瞳孔等大、等圆,对光反应存在。1例皮肤暴露部位潮红。治疗:吸氧、20％甘露醇250ml和安定10mg静注,1例给予地塞米松20mg静注。结果:患者分别于治疗后1h和6h神志恢复,1例遗留短时肌肉颤搐。 讨论 紫外线是位于电磁波谱紫色光之外,波长从160～400nm的辐射线。紫外线的生物学作用,
A long time in the UV lamp work under convulsions, coma is rare, now the authors encounter two cases are reported as follows: Clinical data of 2 cases were female, aged 18 and 40 years before onset in the UV lamp 8 ~ 10h After a coma, limbs convulsions. Admission T, P, R, BP are normal. Soft neck, pupils and other large, so round, there is light reaction. 1 case of exposed parts of the skin flushing. Treatment: oxygen, 20% mannitol 250ml and stability 10mg intravenous injection, dexamethasone 20mg intravenous injection. Results: The patients recovered their consciousness at 1h and 6h after treatment, and one patient had short-term muscle twitch. Discussion UV is located in the electromagnetic spectrum of purple light, the wavelength of radiation from 160 ~ 400nm. The biological role of ultraviolet light,