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路易氏毒气的中毒与急救 | 2010-9-2 8:55:00
路易氏气,学名为氯乙烯二氯砷,是一种无色或微黄色的油状液体,比重为1.92,沸点190C,冰点13C,气体比重为7.1,本品多为战争或恐怖活动中使用。
(一)毒理作用
路易氏气系一种砷剂,主要是对局部皮肤粘膜有强烈的刺激糜烂作用,在皮肤糜烂性毒气中其毒性为最强,故曾有“致死的露水”之称。
(二)中毒表现
伤后局部皮肤迅速出现烧灼疼痛感觉,并有红肿。红肿与健康皮肤分界不清,在红肿处附近可见有出血点,红肿逐渐增大形成水疱,水疱内液体混浊并有血性疤液。
眼睛受毒可引起急性坏死性结膜炎,严重时角膜溃疡穿孔可致失明。
呼吸道受毒,咽喉处发辣、疼痛,严重时可致喉头、支气管粘膜水肿、坏死,而造成呼吸困难;肺脏受损,肺毛细血管渗透性增高,引起急性肺水肿。
毒物吸收入血造成全身中毒症状,血压下降,呼吸循环衰竭,最后陷于昏迷而死亡。
(三)急救
局部皮肤、粘膜受伤的初步处理同芥子气之救治。
局部或全身使用特效解毒剂二流基丙醇,该药对治疗砷中毒有特效。在局部经过初步处理后,用5%二巯基丙醇软膏擦染毒部位,5~Ic分钟后用水冲洗。眼受损伤,可立即用25%二巯基丙醇软膏涂入结膜内,轻揉眼睑1分钟后,再用水冲洗,或注射二巯基丙醇,用以解毒。
防止呼吸、循环衰竭,尤其要注意血压变化。血压急剧下降者,应在静脉输液内滴入去甲肾上腺素或阿拉明等。
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