Tincture
Introduction
Introduction Gasoline is an anesthetic poison, and its effects on the human body are: acute poisoning, aspiration pneumonia, and chronic poisoning. Clinical manifestations include dizziness, headache, palpitations, weakness of the limbs, nausea, vomiting, blurred vision, convulsions, irritability, gait instability, transient loss of consciousness, and upper respiratory tract irritation.
Cause
Cause
Gasoline poisoning. Acute gasoline poisoning can generally occur when unprotected measures enter the oil tower, clean the oil storage pipe, or the refinery distillation equipment fails. More common in places with higher gasoline vapor concentrations, or due to aspiration. After the gasoline is inhaled, it mainly acts on the central nervous system, which makes the lipid balance in the nerve cells imbalance.
Examine
an examination
Related inspection
Lung biopsy white blood cell count (WBC) lung perfusion imaging lung ventilation imaging electromyography
The symptoms of poisoning are mainly central nervous system symptoms, dizziness, headache, palpitations, weakness of the limbs, nausea, vomiting, blurred vision, convulsions, irritability, gait instability, transient loss of consciousness, and upper respiratory tract irritation. Severe poisoning is characterized by toxic encephalopathy after inhalation of high-concentration gasoline vapor. A small number of cerebral edema can occur, neck stiffness, flushing, pulse fluctuations and shallow breathing; inhalation of extremely high concentrations of gasoline can cause sudden loss of consciousness. Reflexive breathing stops and dies. Some patients may have symptoms of toxic psychosis, such as panic, euphoria, hallucinations, and laughter. Acute oral poisoning can cause burning sensation in the mouth, pharynx and sternum, as well as nausea, vomiting, abdominal pain and liver and kidney damage. Acute poisoning can cause pulmonary edema, which can cause inhalation pneumonia by inhaling a person's breath by mouth and nose. Liquid gasoline directly inhaled into the respiratory tract can cause bronchitis and pulmonary edema. X-ray examination, for acute inhalation poisoning, flaky or dense mass shadows in the lungs; total white blood cells and neutrophils can be increased.
Chronic poisoning mainly manifests as neurasthenic syndrome, autonomic dysfunction and numbness of the extremities, hypoesthesia, weakened or disappeared Achilles tendon reflexes, etc. In severe cases, the distal muscles of the limbs can be atrophied. Acute dermatitis can occur with skin contact, with erythema, blisters and itching. For chronic poisoning, neuro-electromyography should be performed to show neurogenic damage. Toxic substances can be analyzed in the vomit.
Oral poisoning patients immediately feel thirsty, 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 it. 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 and fever. There are also acute hemorrhagic necrotic lesions in the lungs within 24 hours, which usually dissipate in 3 to 5 days without leaving sequelae.
Inhalation of poisoning may occur flushing, excitement, nausea, vomiting, headache, dizziness, chest tightness, hallucinations, auditory hallucinations, tinnitus, convulsions, limb tremors, palpitations, etc., severe cases may have convulsions or arrogance, clonic or straight Sexual convulsions, coma, superficial and frequent breathing, fast and weak pulse, decreased blood pressure, elevated or decreased body temperature. When aspiration pneumonia occurs, the child has chills, fever, severe cough, chest pain, hemoptysis, bruising, increased respiration rate, and rales in the lungs. Children with chronic inhalation can experience fatigue, weakness, anemia, weight loss, psychosis, limb pain, numbness, and paresthesia. There are proteins and red blood cells in the urine.
Diagnosis
Differential diagnosis
Acute gasoline poisoning should be differentiated from common mental illness, central nervous system infection or acute tetraethyl lead poisoning;
Chronic poisoning should be differentiated from neurosis.
1. Understand the type, quantity, time, incidence and initial treatment of aspiration.
2. Can be identified according to the clinical symptoms of poisoning.
