Hydrocarbon poisoning inogona kuitika kubva mukumedza kana kufema. Kupindwa muropa, uko kunowanzoitika muvana vari pasi pemakore mashanu, kunogona kukonzera aspiration pneumonia

Hydrocarbon poisoning: mhedziso

Kufemba, ndiyo nzira inowanzoitika yekuratidzwa pakati pevechiri kuyaruka, inogona kukonzera ventricular fibrillation, kazhinji pasina premonitory zviratidzo.

Kuongororwa kwepneumonia kunoitwa nekiriniki evaluation, chifuva X-ray uye saturimetry.

Gastric emptying inopikiswa nekuda kwengozi yekushuvira.

Kurapa kunotsigira.

Kudya mahydrocarbons, ari mupetroleum distillates (semuenzaniso peturu, parafini, oiri yemamineral, mafuta emarambi, zvitete, nezvimwewo), zvinokonzeresa hurongwa hushoma, asi hunogona kukonzera pneumonia yakaoma.

Iyo muchetura inogona kutsamira zvakanyanya pane viscosity, inoyerwa muSaybolt universal seconds.

Low viscosity liquid hydrocarbons (SSU <60), yakadai sepeturu nemineral oil, inopararira nekukurumidza pamusoro penzvimbo hombe uye inogona kukonzera inhalation pneumonitis pane mahydrocarbon ane universal Saybolt seconds > 60, setara.

Kana akanwiwa muhuwandu, mahydrocarbon akaderera molecular huremu anogona kutorwa nenzira kwayo uye kukonzera huturu mukati metsinga dzetsinga kana chiropa, izvo zvinowanzoitika nemahalogenated hydrocarbons (eg carbon tetrachloride, trichlorethylene).

Recreational inhalation yehalogenated hydrocarbons (seg, glue, pendi, zvinonyungudutsa, zvipfapfaidzo, peturu, machlorofluorocarbons anoshandiswa sefiriji kana mapropellants muaerosols, ona Volatile solvents), inozivikanwa sehuffing, inhalation yemucheka wakanyoroveswa, kana bhegi, inhalation yebhegi repurasitiki, inowanzoitika. pakati pevachiri kuyaruka.

Zvinokonzera kufara uye kuchinja kwechimiro chepfungwa uye zvinokurudzira mwoyo kune endogenous catecholamines.

Inouraya ventricular arrhythmias inogona kuitika; izvi zvinowanzoitika pasina premonitory zviratidzo kana zvimwe zviratidzo zvekunyevera uye, pamusoro pezvose, kana varwere vari pasi pekunetseka (kutya kana kudzingirirwa).

Kugara kunwa toluene kunogona kukonzera huturu hwenguva refu yepakati tsinga system, inoratidzirwa neperiventricular, occipital uye thalamic kuparadzwa.

Symptomatology yehydrocarbon poisoning

Muchiitiko chekufemerwa mushure mekudya kunyange shoma shoma remahydrocarbons emvura, varwere vanotanga vauya nekukosora, kukosora, kunzwa uye kurutsa.

Vana vaduku vanokura cyanosis, vanobata mweya wavo uye vane chikosoro chinoramba chiripo.

Vechidiki nevakuru vanotaura chirungurira.

Kufema mabayo kunokonzera hypoxia uye mweya wekufema.

Zviratidzo nezviratidzo zvepneumonia zvinokura maawa akati wandei kusati kwapinda kunoonekwa paX-ray.

Kutora nguva yakareba systemic absorption, kunyanya yehalogenated hydrocarbons, inokonzera kupera simba, coma uye kugwinha.

Mabayo asingaurayisi anowanzopera mukati mevhiki; kazhinji munyaya yekudyiwa kwemafuta emaminerari kana marambi, mavhiki 5-6 anodiwa kuti agadziriswe.

Arrhythmias inowanzoitika isati yatanga uye haigoni kudzoka shure kwekutanga, kunze kwekuti varwere vakanyanya kuvhiringidzika.

Kuongororwa kwehydrocarbon poisoning

Chest X-ray uye saturation bvunzo yakaitwa ingangoita 6 h mushure mekudya.

Kana varwere vakanyanya kuvhiringika zvekusakwanisa kupa nhoroondo, kuratidzwa kwemahydrocarbons kunofanirwa kufungidzira kana mweya kana zvipfeko zvine munhuwi wehunhu kana kana mudziyo ukawanikwa pedyo.

Pendi inosara pamaoko kana pamuromo ingaratidza kufemba kwependi munguva pfupi yapfuura.

Kuongororwa kwepneumonia yekufema kunobva pane zviratidzo, chipfuva X-ray uye saturation bvunzo, iyo inoitwa anenge 6 h mushure mekudya kana kumberi kana paine zviratidzo zvakanyanya.

Kana kufungidzirwa kukundikana kwekufema, hemogas kuongororwa kunoitwa.

Central nervous system toxicity inoongororwa neurological kuongorora uye MRI.

Kurapa kwehydrocarbon poisoning

• Kutsigira kurapwa
• Gastric emptying contraindicated

Kubviswa kwehembe dzese dzakasvibiswa uye kunyatsogeza ganda nesipo. (CHENJERERO: gastric emptying inopikiswa sezvo ichiwedzera njodzi yekufema).

Marasha haakurudzirwe.

Varwere vasina kuita inhalation pneumonia kana zvimwe zviratidzo vanoburitswa mushure memaawa 4-6.

Varwere vane zviratidzo vari muchipatara uye vanorapwa nerutsigiro runotsigira; mishonga inorwisa mabhakitiriya uye corticosteroids haina kuratidzwa.

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Source:

MSD