Acute hydrogen sulfide and hydrogen chloride gas mixture analysis of poisoning.docVIP

 PAGE \* MERGEFORMAT 13 Acute hydrogen sulfide and hydrogen chloride gas mixture analysis of poisoning Author: Zhang Xiao Chen Po-Yuan Hu Qiang Zhao Qun Wang Yi Wang Gang Keywords: Acute hydrogen sulfide gas mixture of hydrogen chloride Poisoning Hydrogen sulfide (H2S) and hydrogen chloride (HCl) are irritating, asphyxiating gas, a mixture of both poisoning has not been reported. Our hospital from April 2007 to July 2008 Successful treatment of 14 cases of acute H2S, and HCl mixed gas poisoning, the report is as follows. A clinical data 1.1 General Information of this group of 14 patients were male, aged 19 to 44 years, an average of 33 years. Due to cleaning of large storage tanks containing sodium sulfide, when inadvertently dumping bottles of hydrochloric acid, sodium sulfide and hydrochloric acid reaction caused by a large number of H2S gas; the same time, volatile hydrochloric acid to produce HCl gas, diffusion to the air, both by the human body caused by inhalation poisoning . All patients meet the clinical diagnostic criteria [1]. 1.2 in patients with clinical manifestations of poisoning have occurred after some tears, dizziness, chest tightness, coughing, breathing difficulties and eye irritation symptoms, then coma, 8 cases with incontinence, coma time 10min ~ 8h. In which the left hip, right arm and left lower extremity 6% ~ 8% Ⅱ ~ Ⅲ ° burn in 3 cases, bulbar conjunctival hyperemia, edema in 9 cases, lungs breathing sound thickening in 11 cases, pulmonary edema, 3 cases, cerebral edema in 2 cases, ECG Incomplete right bundle branch block in 4 cases, chest X-ray double-lung markings thickening in 12 cases, compensatory respiratory alkalosis in 11 cases, EEG abnormalities in 6 cases with mild, moderate, abnormal in 1 case, leukocytes and neutrophils increased by 11 cases, 8 cases of increased myocardial enzyme, alanine aminotransferase (GPT) increased in 5 cases. 1.3 treatment (1) to improve ventilatio