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甲硫醇是生严农药涕灭威的原料,在35℃时与异丁烯亚硝基氯化物二聚物合成2-甲基-2-甲硫基丙醛肟。迄今尚未见有甲硫醇临床中毒病例报道。我们曾遇到1例,整理报告如下: 梁××,女,30岁,住院号279013。因头痛,头晕1月,于1984年31月27日入院。患者系涕灭威生产操作工,2月13日将400升甲硫醇投入20℃的反应罐内(罐内无其他物质),因未加盖,大量甲硫醇气体外溢。患者未戴防毒面具近前加盖,当即感到胸闷、头痛、头晕,持续加盖约1—2分钟,晕倒在地,不省人事,但无抽搐、吐白沫等症状。迅即被人救出现场。约10分钟后,在转送医院途中患者清醒,自觉头痛、头晕、两眼视物模糊、走路有踏棉花样感觉。在当地医院给予r一氨酪酸、B族维生素及输液等对症处理,
Methyl mercaptan is a raw material for raw pesticidal aldicarb aldicarb, and 2-methyl-2-methylthiopropionaldehyde oxime is synthesized with isobutylene nitroso chloride dimer at 35 ° C. To date, no clinical reports of methyl mercaptan poisoning have been reported. We have encountered one case, finishing the report as follows: Liang × ×, female, 30 years old, hospital number 279013. Due to headache, dizziness January, admitted to hospital on January 27, 1984. The patient was aldicarb production operator. On February 13, 400 liters of methyl mercaptan was placed in a reaction vessel at 20 ° C (no other substance in the tank), and a large amount of methanethiol gas spilled due to uncapped capillaries. Patients did not wear gas masks near the front stamped, immediately felt chest tightness, headache, dizziness, continued capping about 1-2 minutes, fainted on the ground, unconscious, but no convulsions, spit foam and other symptoms. Was immediately rescued from the scene. About 10 minutes later, the patient was awake on the way to the hospital, consciously had a headache, dizziness, blurred vision of both eyes and a treadmed cotton-like feeling of walking. In the local hospital to give r a ammonia butyrate, B vitamins and infusion symptomatic treatment,