- 期刊
Mis-Swallowing of Cleaning Naphtha: Report of Three Cases
誤食去漬油：三病例報告
摘要
去漬油是一主要含5碳至10碳之飽和脂肪族碳氫化合物，其中以6和7碳之飽和脂肪族碳氫化合物最多；去漬油是一種透明液體，無懸浮物及水份，類似汽油味，在工業或家庭中被用來當溶劑或去漬油。如誤吞食，急性會引起腸胃刺激，造成腹痛、腹漲、反胃、嘔吐等症狀；如經身體吸收，將引起中樞神經麻醉及刺激作用，症狀包括無力、暈眩、呼吸變慣、抽筋，甚至失去知覺，若吸入肺部，其症狀會比吞食嚴重且快速並引起併發症，導致肺炎甚至死亡；另外去漬油也有肝臓毒性及心臓的促進感受性。 本文報告三誤食去漬油之病例，病例一爲1歲9個月大男孩，誤食父母擦皮鞋用之去漬油，母親發現後用手指引吐，造成吸入肺部，5分鍾後全身抽筋，10分鍾後送至醫院，鼻胃管洗出含血物，胸部X光片顯示兩側下肺野浸潤，病人很快陷入昏迷及痛苦的呼吸，雖然給予支持性療法及呼吸器，病人4天後死於多重器官衰竭。病例二爲2歲大男孩，母親帶去訪友時誤食辦公室內去漬油，食後有咳嗽，臉部潮紅，眼皮水腫，眼睛週圍及嘴邊有小出血點，送至醫院後吐出含血物，雖然有呼吸急促及心跳加速，但病人意識清醒，7天後出院無併發症。病例三爲1歲2個月大之女孩，誤食放在椅下的去漬油，被父母發現後將之顛倒致引吐，很快地病人昏迷，口鼻出血，發紺及呼吸困難，送至急診處即呼吸中止及心跳變慢，雖經急救仍不治。二死之例皆經家屬引吐及吸入，極可能爲導致該二病童死亡之主因，因此避免引吐及吸入是影響誤食去漬油者存活非常重要的因素。
關鍵字
無資料並列摘要
Cleaning naphtha, a product of Chinese Petroleum Corporation, is a complex hydrocarbon mixture which contains mainly aliphatic hydrocarbons. It is used as a cleaning fluid and solvent. Three toddlers mis-swallowed a mouth of cleaning naphtha accidentally. One developed multiple organ failure before death, another completely recovered without sequelae, and the other died very soon after mis-swallowing. Two fatal cases were both induced vomiting with aspiration immediately after mis-swallowing by their parents. Therefore, inducing vomiting should not be encouraged especially at home, and prevention of aspiration is very important in the management of such cases.