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我们观察治疗了一例被纯液氨(浓度99.8％,沸点-41°C)损伤的工人。损伤涉及面、颈部皮肤,眼、鼻腔、口腔、咽、喉、气管。因硷中毒合并心、肝、肾损害。在全院各科协力治疗下现已痊愈出院。鉴于化肥厂遍及各地,类似损伤或可发生,现将治疗中的点滴体会整理于下,供同志们参考。患者男,29岁,因操作事故在距一尺多处被纯液氨直接喷射到面部,仅几秒钟即离开喷管,但停留在液氨雾气内约20分钟。事后悉:氨雾范围约8亩,此区内植物全毁,呈黑色如火烧样。患者神智恍惚,表情痛苦,全身颤抖,叫闹躁动,语言含混不清。呼吸迫促25次/分,有喘鸣声。口鼻溢出多量粉红色泡沫状分泌物,间有大口咖啡色胃内容呕出。双肺满布干、湿性罗音,心音
We observed and treated a case of workers who were injured with pure liquid ammonia (99.8%, boiling point -41 ° C). Damage involving the face, neck skin, eyes, nose, mouth, pharynx, larynx, trachea. Due to alkalosis with heart, liver and kidney damage. Collaboration treatment in the hospital under the branches are now discharged. In view of the fact that fertilizer plants are spread all over the country, similar injuries may occur, and now the treatment of the drip will be organized in the next, for the comrades for reference. The male patient, aged 29, was sprayed directly onto the face with pure liquid ammonia at a distance of one foot from the operating accident and left the nozzle in only a few seconds, but remained in the mist of liquid ammonia for about 20 minutes. Afterwards learned: ammonia fog range of about 8 acres, the whole area of plants destroyed, was black like a burning sample. Patients in a trance, facial expression pain, trembling, called agitation, language ambiguous. Breathing forced 25 times / min, wheezing. Oral and nasal overflowing large amounts of pink foam secretions, between large mouth brown stomach contents vomit. Full of dry lungs, wet rales, heart sounds