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目的总结急性光气刺激反应的临床表现及综合性救治的临床疗效。方法回顾分析本医疗中心2007年11月至2009年7月救治的47例急性光气刺激反应患者的临床症状、体征、血氧饱和度和X射线胸片等临床资料。结果采用糖皮质激素(必可酮喷雾剂)+吸氧等常规治疗后,患者临床症状、体征等均获得明显好转。结论急性光气刺激反应引起的急性呼吸道及眼部刺激症状,通过糖皮质激素喷雾、小剂量低流量持续吸氧为主的综合治疗,可以在短时间内得到缓解、痊愈。
Objective To summarize the clinical manifestations of acute phosgene stimulation and the clinical efficacy of comprehensive treatment. Methods The clinical data of 47 patients with acute phosvitic stimulation treated from November 2007 to July 2009 in our hospital from January 2007 to July 2009 were reviewed retrospectively. Clinical data, signs, oxygen saturation and X-ray films were analyzed retrospectively. The results of the use of glucocorticoid (Bickone spray) + oxygen and other conventional treatment, the patient’s clinical symptoms, signs, etc. were significantly improved. Conclusions The acute respiratory and ocular irritation caused by acute phosgene stimulation can be relieved and healed in a short period of time through the combination of glucocorticoid spray and continuous low-dose and low-flow oxygenation.