Antimony poisoning
Introduction
Introduction to cockroach poisoning Most of the anti-intoxication (antimonypoisoning) is due to the misuse of a large amount of tinctures such as bismuth potassium tartrate (salt), sub-sodium sulphate (-273), sodium gluconate, anti-cancer (71) and ingestion of cockroaches Dyes, safety matches (including barium trisulfide), etc.; also caused by ingestion of acidic foods or beverages containing sputum containing containers and food contaminated with sputum. basic knowledge The proportion of illness: 0.001% - 0.002% Susceptible people: no specific population Mode of infection: non-infectious Complications: hepatitis
Cause
Cause of poisoning
It can be poisoned by digestive tract, respiratory tract and skin contact.
Prevention
poisoning prevention
Medical tinctures should be strictly in accordance with the indications, dosage, antimony dyes, insecticides, etc. should be kept in a safe place to prevent accidental eating, strengthen science education, do not contain sputum utensils to hold acidic foods or cook heated food, do not mix tableware , various acute infectious diseases and febrile diseases, active tuberculosis, severe cardiovascular diseases such as heart failure, angina pectoris, severe liver disease such as acute, chronic hepatitis, thinking about hepatitis and recovering from less than 1 year, or having large ascites or Patients with jaundice, active nephritis, protein, cells and casts in the urine, significant malnutrition and hyperthermia, anemia patients, pregnant women, infants and lactating women within 6 months should be delayed.
Complication
Sputum poisoning complications Complications
In severe cases, toxic encephalopathy can occur, and sputum sputum can occur. A small number of patients may have toxic hepatitis and hepatic necrosis; in severe cases, there may be lavage, hepatic coma, and even death.
Symptom
Symptoms of sputum poisoning Common symptoms Abdominal pain, hematuria, toenail, phlegm... diarrhea conduction block, renal failure, purpura, kidney damage, hemoglobinuria
Oral poisoning mainly manifests as gastrointestinal symptoms, such as nausea, salivation, vomiting, abdominal pain, diarrhea, beginning of drainage-like mucus, blood in the stool afterwards, and symptoms of liver and kidney damage, after injection of tincture, in addition to Nausea, vomiting, abdominal pain, headache, dizziness, chest tightness, cough, shortness of breath, cyanosis, asphyxia, fever, myalgia, joint pain, etc., can also have myocardial and liver damage, such as myocarditis, conduction block Sometimes there are A-Stis syndrome, shock, etc., and then (or subacute poisoning) may have jaundice, liver failure; proteinuria, hematuria, hemoglobinuria, acute renal failure, etc., potassium tartrate According to the clinical manifestations, sputum poisoning caused by intravenous overdose can be divided into three categories:
1 mainly damages the heart, and even A-S syndrome; occasionally occurs during the course of treatment with a therapeutic amount or within a few days after the end of treatment.
2 mainly damage the liver, causing liver enlargement (reduced later), jaundice, and even liver failure.
3 very rapid onset, high fever, coma, headache, vomiting, irritability, convulsions, etc., and extensive bleeding can occur, but the heart and liver can be no significant damage, in addition, during the treatment of expectorant, allergic reactions can occur Symptoms and even anaphylactic shock.
Examine
poisoning check
Urinary sputum is positive, and can be quantitatively determined. There may be protein, red blood cells, tube type, etc. in the urine. The liver function may be abnormal. The electrocardiogram may show a decrease in T wave or even inversion, accompanied by a prolongation of Q-T interval; Occasionally, premature ventricular beats, atrial fibrillation or conduction block.
Diagnosis
Diagnosis and identification of sputum poisoning
It can be diagnosed based on medical history, clinical symptoms and laboratory tests.
Mainly differentiated from other heavy metal poisoning.
