摘要
本文介绍2例三氯乙烯药疹样皮炎误诊病例的中毒及就诊过程,其中1例经多次转院治疗后死亡,另1例经疾病预防控制专家会诊后及时转上海市杨浦区中心医院治疗后痊愈。分析三氯乙烯药疹样皮炎误诊的原因主要是企业职业病防治工作及职业卫生培训不到位;其次,该病发病隐匿不易引起重视而延误病情;第三,医生对该病的凶险结局估计不足,治疗未遵循"及早、足量及规则减量"的原则合理使用糖皮质激素。
In this paper, we introduced the process of poisoning and diagnosis in two misdiagnosed cases of medicamentose- like dermatitis due to trichloroethylene. One patient was deceased after multiple referral treatments, the other recovered after seeking specialized consultation from centers for disease control and prevention and treatment in Yangpu District Central Hospital in Shanghai. The potential reasons of the misdiagnosis were ： first, insufficient occupational prevention work and trainings; second, no symbolic symptoms of the dermatitis and subsequently delayed treatment; last but not the least, underestimate of the risky consequences of the disease which hindered the physicians following the principal of ＂early, sufficient, and gradual reductian＂ in dosage of applying glucocorticoids.
出处
《环境与职业医学》
CAS
CSCD
北大核心
2015年第9期884-886,共3页
Journal of Environmental and Occupational Medicine
关键词
三氯乙烯
药疹样皮炎
中毒
误诊
糖皮质激素
trichloroethylene
medicamentose-like dermatitis
poisoning
misdiagnosis
glucocorticoid
