刺激性气体在工业上,特别是化工生产中经常可以遇到。刺激性气体的种类很多,包括硫酸、硝酸、氨气、氟化氢、光气、氯气、硫酸二甲酯、氮氧化物等。吸入刺激性气体的严重危害是引起中毒性肺水肿,救治不当,可危及患者生命。本文就氮氧化物引起的中毒性肺水肿临床表现和急救治疗进行讨论。病例患者,男24岁,3小时来呼吸困难,1976年8月24日晚9时急诊入院。8月24日下午5时库房中硝酸因保管不善而起火。当时黄烟滚滚,用水浇泼后烟雾更大,弥漫于室内。患 Irritant gases are often encountered in industry, especially in chemical production. Many types of irritating gases, including sulfuric acid, nitric acid, ammonia, hydrogen fluoride, phosgene, chlorine, dimethyl sulfate, nitrogen oxides and so on. Inhalation of irritating gases is a serious hazard caused by toxic pulmonary edema, improper treatment can endanger the lives of patients. This article discusses the clinical manifestations and first aid treatment of toxic pulmonary edema caused by nitrogen oxides. Case patients, male 24 years old, 3 hours to breathing difficulties, at 9:00 on the evening of August 24, 1976 emergency admission. On the afternoon of August 24, at 5 pm, nitric acid in the storeroom caught fire due to poor storage. At that time, yellow smoke billowed with water after pouring smoke larger, diffuse indoors. Suffering