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目的分析总结腐鱼搬运工急性中毒的病因及其诊治经验。方法对2例因搬运腐鱼引起的以急性溶血为主要临床表现的急性中毒患者的临床资料进行分析。结果根据患者的临床表现,排除急性硫化氢中毒后予以控制溶血、防治肾功能不全等治疗后痊愈出院。结论海鱼腐败后体内的有机砷可水解生成砷化氢,应加强作业防护;控制溶血、防治肾功能不全是救治的关键。
Objective To analyze and summarize the etiology and diagnosis and treatment of acute poisoning of rotten porter. Methods The clinical data of 2 acute poisoning patients whose acute hemolysis was the main clinical manifestation caused by the handling of rotten fish were analyzed. Results According to the clinical manifestations of patients, after excluding acute hydrogen sulfide poisoning to control hemolysis, prevention and treatment of renal insufficiency after treatment cured. Conclusion After the marine fish decayed, the organic arsenic in the body can be hydrolyzed to form arsine, which should strengthen the job protection. Controlling hemolysis and preventing and treating renal insufficiency are the key points for treatment.