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硫化氢中毒与急救 | 2010-8-16 8:12:00
(一)理化性状及中毒原因
硫化氢是含硫有机物分解或金属硫化物与酸作用而产生的一种气体。无色,具有臭鸡蛋味,易挥发,燃烧时可产生蓝色火焰。硫化氢广泛存在于制糖、制药、纤维业、染坊业以及城市下水道内,消防人员在扑救这类火灾或抢险救援过程中.应特别警惕硫化氢中毒。
(二)中毒症状
急性中毒时局部刺激症状为流泪、眼部烧灼疼痛、怕光、结膜充血;剧烈的咳嗽,胸部胀闷,恶心呕吐,头晕、头痛,随着中毒加重,出现呼吸困难,心慌,颜面青紫,高度兴奋,狂躁不安,甚至引起抽风,意识模糊,最后陷人昏迷,人事不省,全身青紫。如果暴露在98O毫克/立方米~1260毫克/立方米的浓度下只需15分钟,患者即陷入昏迷,随之呼吸麻痹死亡。
(三)急救
尽速将患者抬离中毒现场,移至空气新鲜通风良好处,解开衣服、裤带等,注意保暖。吸入氧气,对呼吸停止者行人工呼吸,应用呼吸兴奋剂。必要时行胸外心脏按压。
用10%硫代硫酸钠20毫升~40毫升静注,维生素C加入高渗葡萄糖中静注。美蓝 10毫克/千克,加入 50%葡萄液中静注。
对躁动不安、高热昏迷者,可采用亚冬眠或冬眠疗法。眼部损伤者,尽快用清水或2%碳酸氢钠溶液冲洗,再用4%硼酸水洗眼,并滴入无菌橄榄油,用醋酸考的松滴眼,防止结膜炎的发生。
- 上一篇:地下建筑内窒息症状与急救方法
- 下一篇:仿形切割机安全操作须知
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