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目的:观察急性氯气中毒患者的电解质等实验室资料特征。方法:收集35例急性氯气中毒患者的临床表现、血尿常规、电解质、肝肾功能、心肌损伤标志等资料,以35例健康体检者为对照,使用SPSS 14.0统计软件进行统计学处理。结果:35例急性氯气中毒患者中,34例(97.1%)出现电解质紊乱,27例(77.1%)血常规异常,17例(48.6%)尿常规异常,12例(34.3%)动脉血气分析异常,8例(22.9%)肝功能异常,与对照组相比差异有统计学意义。结论:急性氯气中毒常发生电解质紊乱,发生率高于动脉血气分析异常,这提示临床抢救时注意维持水电解质平衡。
Objective: To observe the characteristics of laboratory data such as electrolytes in patients with acute chlorine poisoning. Methods: The clinical manifestations, hematuria, electrolytes, liver and kidney function, myocardial injury signs of 35 patients with acute chlorine poisoning were collected and compared with 35 healthy people. SPSS 14.0 software was used for statistical analysis. Results: Of the 35 patients with acute chlorine poisoning, electrolyte disturbance was found in 34 patients (97.1%), abnormal blood tests in 27 patients (77.1%), abnormal urine samples in 17 patients (48.6%) and abnormal arterial blood gas analysis in 12 patients (34.3%) , And 8 cases (22.9%) had abnormal liver function. The difference was statistically significant compared with the control group. Conclusions: Electrolyte disorder occurs frequently in acute chlorine poisoning, and the incidence is higher than that of arterial blood gas analysis. This suggests that water and electrolyte balance should be maintained in clinical rescue.