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姑娘吃馄饨血液变蓝色 医生:亚硝酸盐中毒

2016-06-14 16:45:33   杭州网

半个多月前,26岁的姑娘小美不但昏迷、面色发青、心跳呼吸骤停,体内的血竟还变成了蓝色!小美如今已从浙江大学医学院附属邵逸夫医院康复出院,可回想起这一趟鬼门关的经历,她仍心有余悸。

小美究竟怎么了?邵逸夫医院参与抢救的蔡华波副主任医师给了一个结论:亚硝酸盐中毒

“亚硝酸盐食物中毒是夏季常见的饮食中毒病症。除了腌制食品可能导致中毒外,因夏天高温,过剩食品因贮藏不当容易出现亚硝酸盐含量增多导致中毒。因此,市民最好选择新鲜食物。”蔡华波说。

姑娘吃完馄饨去上班

两小时后头晕、胸闷

5月23日早上,在杭州工作的小美如往常一样起床,在一家面店吃完早餐后就去上班。然而2小时后,她出现了头晕、胸闷的感觉,就请假回了家。谁知到家后,情况越来越严重。在拼力向房东发出求救后,小美便失去了意识。

蔡华波接诊到小美正是中午时分。当时急诊室门外传来一阵急促的呼叫声,一个男子背着小美冲了进来,医护人员立马围了上去。此时的小美已处于昏迷状态,呼之不应,面色发青、口唇紫绀,心跳呼吸停止。“我们急诊值班医生迅速开始心肺复苏、气管插管、肾上腺素静脉推注等各项抢救。大约10分钟后,小美的心跳恢复了。”

正当大家稍稍舒了一口气时,却发现小美的情况依旧很糟糕:在呼吸机以100%氧气并以高压力送进肺里的情况下,小美的血氧饱和度还是只有80%,而且还在下降。这意味着,即使把高浓度的纯氧送进肺里,她也吸收不了。血压在大量的肾上腺素维持下,仍然只有76/40mmHg,而且还有进一步下降的趋势。

此时的小美颜面部发紫,全身皮肤也呈现淡淡的青色并布满花斑。更让人吃惊的是,医生从她血管内抽出的血竟然是蓝黑色,就好像科幻小说中描述的“蓝血人”那样。

病人到底得了什么病?是什么样的状况能导致一个年轻人突然心跳呼吸停止?面对医生的询问,送小美来急诊的房东却无法提供对病情有帮助的任何信息。

医生根据情况判断

可能是亚硝酸盐中毒

在没有获得任何有价值信息的情况下,蔡华波根据小美的临床表现和抢救过程的情况一直在分析:患者为年轻女性,据房东讲也没有明确的严重的病史,病人的氧和差、氧饱和度和血气的血氧分压高非常不匹配、血液呈现蓝黑色,这种情况应该考虑是中毒所致,最有可能的是亚硝酸盐中毒,而且为大剂量的亚硝酸盐中毒。

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