Dimethyl sulfate 6 cases of acute poisoning first aid and nursing care.docVIP

 PAGE \* MERGEFORMAT 11 Dimethyl sulfate 6 cases of acute poisoning first aid and nursing care [Keywords:] dimethyl sulfate Dimethyl sulfate is a colorless odorless or slight onion taste oily liquid, highly toxic, there is a strong volatile. Oral lethal dose for adults is 1 ~ 5ɡ , the cause of death as respiratory and circulatory failure [1]. Our hospital on February 18, 2004 were admitted because of dimethyl sulfate (dimethyl sulfate, DMS) acute poisoning caused by eye, respiratory tract and skin in patients with chemical injury in 6 cases, cured by the treatment. Rescue and care will now be reported as follows. 1 Data and methods 1.1 General information on this group a total of 6 patients, all male porter, aged 20 to 44 years old, mean (26.7 ± 3.1) years of age. Poisoning reasons: 6 patients were from the same consignment department, in carrying dimethyl sulfate and dimethyl sulfate, when accidentally overturned sealed barrels, due to lack of professional knowledge of chemicals are still in situ work up to 1h after the onset. Hospital emergency department personnel due to shipment of unknown chemicals, what kind of objects, checked by contacting the manufacturer was informed DMS, it is clear for the DMS poisoning. 1.2 Clinical manifestations dimethyl sulfate 1h leak gradually after onset, 6 patients were varying degrees of ocular foreign body sensation, stuffy nose, watery nose, sneezing, sore throat, burning sensation, cough; then, 3 patients had photophobia, tears, blurred vision, 4 patients had pain upon swallowing, hoarseness, shortness of breath, chest tightness, and 2 cases of severe difficulty breathing, the patient restless, hand-foot tamper, a cold sweat, cyanosis, arrhythmias, pulse breakdown, I an emergency tracheotomy. Two cases of hand was splashed dimethyl sulfate, to begin a partial hand of skin redness, fever, 10h and later developed into the hand of multiple exudative skin blisters. Specialist examination: eyelid edema, convulsions, bul