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光气中毒急救方法 | 2010-8-31 7:08:00
光气即二氯化碳基(COCI2 ),是一种无色透明或白色的液体,极易挥发,沸点为8.2C,气体比空气重3.5倍,易溶于水,气体熔点为 104C。光气广泛应用于许多化学工业上。在制造光气时,生产过程密闭化不好造成泄漏及室内通风不良、火灾皆能造成中毒。
(一)毒理作用
光气的毒理作用与氯气相似,但比氯气强15.5倍,具有强烈的刺激及腐蚀性,它对细小支气管,尤其是肺泡的毒性极强,造成肺毛细血管内皮损伤,渗透性增高,病人多发生肺水肿。这样,可导致病人缺乏氧气逐渐窒息。再则,血液因其血浆总量之1/3~1/2渗入肺泡,血液高度浓缩粘稠,血色素常超过140%,致使心脏因血液过于粘稠而使循环发生困难,也加重了缺氧。
(二)中毒症状
吸入高浓度的光气,如每立方米空气含光气150毫克以上时,只需半小时病人即可致死。中毒时,病人先有局部刺激症状,同氯气中毒相似,如两眼烧灼、咽喉干燥发热,以后迅速出现刺激性咳嗽、咯痰(痰中带血)、呼吸变快、喘息、面部青紫,病人血压逐渐下降,脉搏细弱无力,全身皮肤转为灰白色,最后可因呼吸、循环衰竭而死亡。亦有当时未死者,但多伴有继发感染致死。
中毒较轻时,出现一般呼吸道炎症,经治疗多能痊愈。
(三)急救
原则上与氯气中毒之急救治疗相同,但因其中毒症状比氯气中毒为重,故在治疗、护理上更应积极慎重。
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