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溺基卤是产盐地常见的意外,好发于儿童,以夏秋季盐业生产大忙时多见,常因对小儿疏于管理,不慎失足苦卤池或苦卤缸而致病。本病发病急骤,病情复杂,病死率高。我院自1963~1977年共收治71例,死亡12例,病死率为16.9%。本文试就溺苦卤的发病机理、临床表现及我们在治疗方面的一些体会作一扼要介绍。 (一)病理生理[1~3] 苦卤中所含的元素与海水相似,但钠、氯、钾、镁离子等浓度超过海水几倍甚至几十倍(见表1)。溺苦卤因大量液体成份吸入呼吸道和吸卤的刺激引起反射性喉痉挛使氧不能进入肺内进行正常的气体交换而发生窒息外,水与电解质紊乱,常为威胁生
Drowning halogen is a common salt-producing accidents, occur in children, with summer and autumn salt production busy more common, often due to children’s neglect management, accidental stumble hard halogen pool or bitter tank and disease. The rapid onset of the disease, the condition is complicated, high mortality. A total of 71 cases were treated in our hospital from 1963 to 1977, 12 died, the case fatality rate was 16.9%. This article tries to drown halogen pathogenesis, clinical manifestations and some of our experience in the treatment of a brief introduction. (1) Pathophysiology [1 ~ 3] Bittern contains elements similar to seawater, but the concentration of sodium, chlorine, potassium, magnesium ions more than several times or even several times the seawater (see Table 1). Drowning halo due to the inhalation of a large number of liquid components of the respiratory tract and halogen-induced irritation caused by reflex laryngospasm so that oxygen can not enter the lungs for normal gas exchange and suffocation, water and electrolyte disorders, often threatening