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我市曾发生一起将碳酸钡误作食用碱掺入面粉中做肉包子出售,引起急性中毒事件。3例皆为男性,年龄28～53岁。中毒至就诊时间为4～6小时,临床表现有恶心、呕吐,腹痛、腹泻等胃肠道症状,随之出现四肢瘫痪,舌及咽喉部麻痹,吞咽困难,语言障碍,呼吸困难,紫绀、抽搐。神志一般清楚,其中一例因呼吸肌麻痹、呼吸停止,出现昏迷,小便失禁。化验血钾皆明显低下,心电图呈低血钾表现。三例皆及时正确诊断而抢救成功。
In our city, barium carbonate has been mistakenly used as an edible alkali to mix into flour to sell buns, causing acute poisoning. 3 cases were all men, aged 28 to 53 years. Poisoning to treatment for 4 to 6 hours, the clinical manifestations of nausea, vomiting, abdominal pain, diarrhea and other gastrointestinal symptoms, followed by paralysis of the limbs, tongue and throat paralysis, dysphagia, speech impairment, dyspnea, cyanosis, convulsions . Consciousness is generally clear, one case of paralysis due to respiratory muscle, respiratory arrest, coma, urinary incontinence. Blood tests were significantly lower potassium, ECG showed hypokalemia. Three cases were timely and correct diagnosis and rescue success.