刘桂桃, 罗玲, 杨春霞, 赵红, 华平, 田立岩. 职业性急性氨中毒患者治疗一年内随访[J]. 环境与职业医学, 2010, 27(3): 186-188.
引用本文: 刘桂桃, 罗玲, 杨春霞, 赵红, 华平, 田立岩. 职业性急性氨中毒患者治疗一年内随访[J]. 环境与职业医学, 2010, 27(3): 186-188.
LIU Gui-tao , LUO Ling , YANG Chun-xia , ZHAO Hong , HUA Ping , TIAN Li-yan . One Year Follow-up of Occupational Acute Ammonia Intoxication Patients[J]. Journal of Environmental and Occupational Medicine, 2010, 27(3): 186-188.
Citation: LIU Gui-tao , LUO Ling , YANG Chun-xia , ZHAO Hong , HUA Ping , TIAN Li-yan . One Year Follow-up of Occupational Acute Ammonia Intoxication Patients[J]. Journal of Environmental and Occupational Medicine, 2010, 27(3): 186-188.

职业性急性氨中毒患者治疗一年内随访

One Year Follow-up of Occupational Acute Ammonia Intoxication Patients

  • 摘要: 目的 观察轻、中、重度职业性氨中毒患者治疗一年内的身体状况变化。

    方法 根据职业性氨中毒诊断和分级标准, 随机选取 8例氨中毒患者(其中轻、中、重度患者分别为 5例、2例和 1例), 给予临床治疗后, 分别跟踪随访上述患者中毒后半年及一年时的症状、体征、临床化验检查等情况。

    结果 5例轻度氨中毒患者中毒 6个月内有 1例患上呼吸道感染 1次。2例中度患者中毒 6个月内共发生上呼吸道感染 5次, 7~12个月内共发生上呼吸道感染 3次。1例重度患者中毒 6个月内发生上呼吸道感染 4次, 有时伴发肺炎, 而且呼吸困难症状严重, 7~12个月内共发生 2次呼吸道感染、肺炎, 症状较前半年稍轻。

    结论 职业性氨中毒患者治疗后相当一段时间仍易发生上呼吸道感染及肺炎, 中毒严重者更甚。

     

    Abstract: Objective To observe the change of health status of acute ammonia intoxication patients after treatment in one year.

    Methods Eight cases of acute ammonia intoxication patients were selected at random, among them 5 cases were diagnosed as light, 2 cases as middle, and 1 case as severe intoxication. We tracked the patients' clinic symptoms, signs and laboratory tests in half year and one year after they were cured.

    Results One patient in the 5 light acute ammonia intoxication patients had upper respiratory tract infection once in half year. The 2 middle degree intoxication patients had upper respiratory infection five times in first half year, and had the same infection three times in later half year. The severe patient had upper respiratory infection four times in first half year and sometimes complicated with pneumonia. He had the same illness two times in later half year, but the symptoms became lighter.

    Conclusion The acute ammonia intoxication patients' immune function gradually came down, easy to get respiratory infection, even after a long period. With the intoxication degree severer, they were easier to get infected or even sufferd from pneumonia.

     

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