Gasoline and kerosene poisoning
Introduction
Introduction to gasoline and kerosene poisoning Misuse of kerosene or gasoline or inhalation of high concentrations of kerosene or gasoline vapor can cause poisoning (keroseneorgaso1inepoisoning). Poisoning patients immediately feel thirsty, burning sensation in the throat and stomach; followed by nausea, vomiting (vomit can bring blood), abdominal pain, diarrhea, blood in the stool and painful urination and other serious symptoms, should take immediate measures to take first aid. The disease can also have serious complications, early detection should be early. Symptoms of mild poisoning include dizziness, headache, nausea, vomiting, gait instability, and ataxia. Toxic encephalopathy occurs at high concentrations of inhalation. Inhalation at very high concentrations causes a sudden loss of consciousness and a reflexed breathing stop. May be associated with toxic peripheral neuropathy and chemical pneumonia. Some patients develop toxic psychosis. Inhalation of fluid into the respiratory tract can cause aspiration pneumonia. Splashing into the eye can cause corneal ulcers, perforations, and even blindness. Skin contact causes acute contact dermatitis and even burns. Acute gastroenteritis caused by swallowing, severe cases of acute inhalation poisoning symptoms, and can cause liver and kidney damage. basic knowledge Sickness ratio: 0.5% Susceptible people: no specific population Mode of infection: non-infectious Complications: narcolepsy nephritis cerebral edema
Cause
Gasoline, kerosene poisoning cause
Inadvertently take kerosene or gasoline or inhale high concentrations of kerosene or gasoline vapor. Acute poisoning: anesthetic effects on the central nervous system. Symptoms of mild poisoning include dizziness, headache, nausea, vomiting, gait instability, and ataxia. Toxic encephalopathy occurs at high concentrations of inhalation. Inhalation at very high concentrations causes a sudden loss of consciousness and a reflexed breathing stop. May be associated with toxic peripheral neuropathy and chemical pneumonia. Some patients develop toxic psychosis. Inhalation of fluid into the respiratory tract can cause aspiration pneumonia. Splashing into the eye can cause corneal ulcers, perforations, and even blindness. Skin contact causes acute contact dermatitis and even burns. Acute gastroenteritis caused by swallowing, severe cases of acute inhalation poisoning symptoms, and can cause liver and kidney damage. Chronic poisoning: neurasthenic syndrome, autonomic symptoms similar to schizophrenia. Skin damage.
Prevention
Gasoline and kerosene poisoning prevention
Anyone who has bleeding tendency can eat more foods containing vitamin C, k. Vitamin C is widely distributed in vegetables and fruits, especially in fresh dates, peppers, citrus, snow red, green garlic, broccoli, cauliflower and green leafy vegetables. The content is the most abundant, the animal's internal anus such as liver, kidney and other content are also more, should pay attention to taking, vitamin C deficiency, so that the formation of connective tissue is poor, resulting in imperfect capillary wall, fragility, easy bleeding, vitamin K can promote The synthesis of prothrombin, alkaloids and green vegetables, the content of vitamin k is higher, and there is also a considerable content in vegetable oil. They should pay attention to the food, the amount of bleeding, body temperature, breathing, pulse, blood pressure, urine, Changes in consciousness and general condition must be observed closely. If there is a lot of bleeding, pale, cold limbs, blood pressure, urinary urination, irritability, anxiety, confusion, and even coma, this is hemorrhagic shock. Timely rush to the hospital to rescue, limit the amount of water, normal people 24 hours a day urine volume of 1500 ml, severe edema and more oliguria, not only need to limit salt, While limiting the amount of water should be, on the edema, the amount of water controlled at about 1000 ml; as severe edema and oliguria, the amount of water should preferably be reduced to about 500 ml.
Complication
Gasoline, kerosene poisoning complications Complications narcolepsy nephritis cerebral edema
Causes systemic symptoms, fever, drowsiness, purpura or paleness, superficial breathing, rapid heartbeat, weak pulse, decreased blood pressure, and can lead to toxic hepatitis and nephritis. After acute symptoms are relieved, pulmonary complications can occur. .
Early cerebral cortical inhibition function is abnormal, and subsequent anesthesia can cause central nervous system blood stasis, hemorrhage, cerebral edema, glial and cell damage, pulmonary congestion, hemorrhage, alveolar necrosis, hepatic edema, steatosis, kidney Edema, and there are renal tubular and glomerular lesions.
Symptom
Gasoline, kerosene poisoning symptoms Common symptoms Powerless dizziness, abdominal pain, sorrow, palpitations, urination, pain, drowsiness, hemoptysis, chest tightness
Patients with oral poisoning immediately feel thirsty, have a burning sensation in the throat and stomach; then nausea, vomiting (vomit can bring blood), abdominal pain, diarrhea, blood in the stool and pain in urination, etc., or syncope immediately after taking the clothes, This product is caused by a large amount of absorption, causing systemic symptoms. The child has fever, lethargy, cyanosis or paleness, superficial breathing, rapid heartbeat, weak pulse, decreased blood pressure, and can lead to toxic hepatitis and nephritis. After the acute symptoms are alleviated, Pulmonary complications can occur, coughing, coughing and hemorrhagic foaming, chest pain, fever, etc. There are also acute hemorrhagic necrotizing lesions in the lungs within 24 hours, which usually dissipate in 3 to 5 days, leaving no Aftereffects.
Inhalation poisoning can occur flushing, excitement, nausea, vomiting, headache, dizziness, chest tightness, visual hallucinations, auditory hallucinations, tinnitus, convulsions, limb tremors, palpitations, etc., severe cases can have convulsions or arrogance, clonic or stiff Sexual convulsions, coma, superficial and frequent breathing, fast and weak pulse, decreased blood pressure, elevated or decreased body temperature, chills, fever, severe cough, chest pain, hemoptysis, bruising, respiration rate when aspiration pneumonia occurs Increased, rales in the lungs, chronic inhalation of children with fatigue, weakness, anemia, weight loss, mental allergy, limb pain, numbness, paresthesia, protein and red blood cells in the urine.
Examine
Inspection of gasoline and kerosene poisoning
Kerosene poisoning
Purpura or pale, shallow breathing, rapid heartbeat, weak pulse, blood pressure.
Gasoline poisoning
Central nervous system blood stasis, hemorrhage, cerebral edema, glial and cellular damage.
X-ray examination
For acute inhalation poisoning, flaky or dense mass shadows can be seen in the lungs; total white blood cells and neutrophils can be increased.
Neuro-electromyogram
Neuro-electromyography for chronic poisoning shows neurogenic damage.
Vomit check
Toxic substances can be analyzed in the vomit.
Diagnosis
Diagnosis and identification of gasoline and kerosene poisoning
Inhalation of high concentration of kerosene vapor, causing fatigue, headache, drunkenness, delirium, muscle tremor, dysfunctional movement; severe disorientation, paralysis, confusion, etc.; can also cause eye and upper respiratory tract irritation; Oral causes irritation of the mouth, throat and gastrointestinal tract.
Gasoline poisoning
Gasoline has the function of dissolving fat and lipids. After entering the human body, it has selective damage to the nervous system of the body. When inhaled by the respiratory tract, it can cause severe cough, chest pain, followed by fever, hemoptysis, difficulty breathing, cyanosis and dizziness. , blurred vision, even nausea, vomiting, convulsions, convulsions, blood pressure, coma and other symptoms.
