内科学教学课件：Poisoning.pptVIP

Lab exam COHb in blood test Electroencephalogram CT Treatment Leave accident place, rest, warm, keep airway unimpeded Correct lacking of oxygen: oxygen cabin, assisting ventilation Cerebral edema: 20%mannitol, lasix, ATP, dexamethason, valium, dilantin, artificial hibernating Promote cerebral cell metabolism Prevent and treat complications Poisoning Definition the toxic chemical material entering human body and accumulating to poisonous quantity, bring out the whole body disease which is called poisoning. The chemical material which can cause poisoning is called poison. Poisoning can be classified acute or chronic according to the contacting time, dose and toxicity Clinical Manifestation Acute poisoning Skin（burn、cyanopathy 、icterus） eye（pupil enlarged、myosis, optic neuritis） Nerval system（coma, phrenitis、muscle fiber flickering、convulsion、 paralysis、anoia） Pulmonary system（breathing smell、breath quickly、breath slower、lung edema） Clinical Manifestation Cardiovascular system（arrhythmia、cardiac arrest、shock） urinary system（putrescence of kidney tubule、short of kidney blood、jam of kidney tubule） Blood system symptoms :（anemia、bleeding、obstruction of blood concreting） Fever Chronic poisoning Diagnosis contracting history clinic manifestation body liquid and poison exam Treatment Principle: leave the toxic place at once urgent resuscitation and suit the remedy to the case eliminate the toxin not be absorbed choose the most useful detoxifying medicine Prevent complication eliminate the toxin not be absorbed a: hasten emesis b: gastric lavage c: laxation d: enema e: diuresi blood purification: hemodialysis, hemoperfusion, plasmapheresis Treatment Organophosphorous Insecticides Poisoning Inhibit acetylcholine esterase, lead to Ach accumulating, cholinergic nerve continued actuation , excite first and fail latterly, bring on a series of Muscarinic, Nicotinic, CNS symptom. Definition 病 因 1.Product course 3.daily life 2.working 毒物的吸收和