chlorine ua dab tsi rau lub cev?

2023-08-11 IB

Chlorine gasyog ib qho khoom siv hluav taws xob, thiab nws yog cov pa roj uas muaj kuab lom nrog cov ntxhiab tsw ntxhiab tsw. Thaum nqus tau cov roj chlorine yuav ua rau cov tsos mob me me lom hauv tib neeg lub cev. Qee tus neeg mob yuav muaj cov tsos mob xws li hnoos, hnoos me me ntawm cov hnoos qeev, thiab lub hauv siab nruj. Cov kab mob ua pa sab saud, qhov muag, qhov ntswg, thiab caj pas ntawm cov neeg mob yuav raug txhawb los ntawmchlorine gas. Hauv cov xwm txheej hnyav, cov neeg mob kuj tuaj yeem tsim cov tsos mob xws li mob ntsws pulmonary edema thiab mob ntsws. Kev nqus tau cov tshuaj chlorine ntev ntev yuav ua rau tib neeg kev laus sai, thiab cov dawb radicals hauv tib neeg lub cev yuav nce ntxiv.
Qee tus neeg mob yuav muaj cov tsos mob xws li hnoos hnyav, pulmonary edema, thiab ua tsis taus pa tom qab nqus cov pa chlorine. Cov roj chlorine nws tus kheej yog cov roj daj thiab muaj kuab lom. Tom qab nqus pa, nws tseem yuav ua rau tib neeg cov tawv nqaij thiab daim siab puas tsuaj, thiab nws tseem yuav ua rau cov neeg mob mob qog noj ntshav. Nce, tus neeg mob lub ntsws yuav tshwm sim qhuav rales los yog hawb pob.
Yog hais tias tus neeg mob muaj dyspnea, paroxysmal hnoos, expectoration, mob plab, mob plab, mob cyanosis thiab lwm yam tsis xis nyob tom qab nqus tau cov tshuaj chlorine, nws yuav tsum mus nrhiav kev kho mob tam sim ntawd kom tsis txhob nqus cov chlorine ntau dhau lawm, uas yuav ua rau kom cov tshuaj lom tshuaj lom. thiab kev puas tsuaj rau tus neeg mob cov kab mob hauv nruab nrog cev Nws yog kev phom sij rau lub neej, thiab yog tias koj tsis nrhiav kev kho mob nyob rau lub sijhawm, nws yuav ua rau muaj qhov tshwm sim loj xws li kev tsis taus ntawm tus neeg mob mus ntev.
Cov neeg mob uas nqus tau cov roj chlorine tuaj yeem pab tshem tawm lub cev los ntawm kev haus cov mis nyuj ntau, thiab tus neeg mob yuav tsum tau hloov mus rau qhov chaw uas muaj huab cua ntshiab los tswj cov huab cua. Cov tshuaj tau nqus los ntawm nebulization, thiab cov neeg mob uas muaj cov tsos mob hnyav heev ntawm kev lom neeg tuaj yeem xaiv adrenal glucocorticoids los pab txhim kho qhov xwm txheej tom qab nrhiav kev kho mob.

2. Cov tshuaj chlorine puas cuam tshuam rau lub hlwb?

Kev nqus cov tshuaj chlorine tuaj yeem ua rau lub hlwb puas tsuaj thiab yuav tsum muaj kev koom tes zoo los txhim kho.
Ua pachlorine gasyog ib yam ntawm cov pa yooj yim, uas kuj yog ib tug muaj zog irritating tsis hnov tsw thiab cov pa phem heev. Yog tias nws nqus tau ntev, nws yuav yooj yim ua rau muaj cov tsos mob lom hauv tib neeg lub cev, thiab nws yuav pom cov tsos mob xws li hnoos thiab mob hauv siab. Yog tias nws tsis kho kom zoo thiab txhim kho, nws yooj yim ua rau kev ua txhaum cai rau lub hlwb, thiab tuaj yeem ua rau lub hlwb puas tsuaj, ua rau kiv taub hau, mob taub hau, thiab lwm yam. Yog tias nws tswj tsis tau zoo, nws yuav ua rau mob cerebral palsy thaum mob hnyav.
Yog tias tus neeg mob nqus cov tshuaj chlorine, nws yuav tsum tawm mus sab nraud tam sim ntawd, hauv qhov chaw txias, thiab nqus cua tshiab. Yog tias muaj cov tsos mob xws li dyspnea, nws yuav tsum tau mus nrhiav kev kho mob raws sijhawm.

3. Yuav kho cov tshuaj chlorine li cas?

1. Tawm ntawm qhov chaw txaus ntshai
Tom qab nqus tauchlorine gas, koj yuav tsum tau khiav tawm tam sim ntawd thiab txav mus rau qhov chaw qhib nrog huab cua ntshiab. Nyob rau hauv cov ntaub ntawv ntawm qhov muag los yog daim tawv nqaij kab mob, yaug kom huv si nrog dej los yog saline tam sim ntawd. Cov neeg mob tau txais cov tshuaj chlorine ntau npaum li cas yuav tsum nrhiav kev kho mob raws sij hawm, saib xyuas kev hloov pauv hauv kev ua pa, mem tes, thiab ntshav siab, thiab siv zog rau kev soj ntsuam ntshav thaum ntxov thiab kev soj ntsuam hauv siab X-ray.
2. Kev nqus pa
Chlorine gasNws ua rau mob rau tib neeg txoj kev ua pa, thiab tej zaum yuav cuam tshuam rau kev ua pa ua pa, nrog rau hypoxia. Tom qab nqus cov pa chlorine, muab cov neeg mob nqus pa hauv lub sijhawm tuaj yeem pab txhim kho lub xeev hypoxic thiab ua kom txoj hlab pa qhib.
3. Kev kho tshuaj
Kev nqus tau me me ntawm cov tshuaj chlorine tuaj yeem ua rau ua pa tsis xis nyob. Yog tias tus neeg mob tseem muaj qhov tsis xis nyob hauv caj pas, nws tuaj yeem siv cov tshuaj rau kev kho qhov nqus nqus pa raws li tus kws kho mob qhia, xws li budesonide ncua kev kawm, compound ipratropium bromide, thiab lwm yam, uas tuaj yeem txhim kho caj pas tsis xis nyob. Tiv thaiv laryngeal edema. Yog tias bronchospasm tshwm sim, kev txhaj tshuaj ntawm glucose ntxiv rau doxofylline tuaj yeem siv. Cov neeg mob pulmonary edema xav tau kev kho mob ntxov, txaus, thiab luv luv nrog adrenal glucocorticoids, xws li hydrocortisone, prednisone, methylprednisolone, thiab prednisolone. Yog tias lub qhov muag raug tshuaj chlorine, koj tuaj yeem siv cov tshuaj chloramphenicol qhov muag los txo cov tsos mob, lossis muab 0.5% cortisone qhov muag tee thiab tshuaj tua kab mob qhov muag. Yog tias daim tawv nqaij kub hnyiab, 2% mus rau 3% sodium bicarbonate tov tuaj yeem siv rau ntub compresses.
4. Kev saib xyuas txhua hnub
Cov neeg mob tau qhia kom tuav lub sijhawm so kom txaus thiab qhov chaw nyob ntsiag to, qhov cua zoo thaum lub sijhawm rov zoo. Xaiv lub teeb, digestible, noj zaub mov zoo, noj zaub thiab txiv hmab txiv ntoo ntau, tsis txhob ntsim, txias, tawv, pickled zaub mov, thiab tsis txhob haus cawv thiab haus luam yeeb. Koj yuav tsum tswj kom muaj kev ruaj ntseg thiab tsis txhob muaj kev ntxhov siab thiab ntxhov siab.

4. Yuav ua li cas tshem cov tshuaj chlorine ntawm lub cev?

Thaum tib neeg lub cev nqus cov pa chlorine, tsis muaj txoj hauv kev los tshem tawm nws. Nws tsuas tuaj yeem ua kom cov pa chlorine dissipation kom tsis txhob muaj tshuaj lom neeg. Cov neeg mob uas nqus tau cov tshuaj chlorine yuav tsum tam sim ntawd mus rau qhov chaw uas muaj huab cua ntshiab, nyob ntsiag to thiab sov so. Yog hais tias lub qhov muag los yog daim tawv nqaij nkag mus rau hauv cov tshuaj chlorine, yaug kom huv si nrog dej tam sim ntawd. Cov neeg mob uas muaj cov leeg nqaij ntau yuav tsum tau so hauv txaj thiab saib xyuas rau 12 teev txhawm rau tiv thaiv cov tsos mob tshwm sim.

5. Cov tsos mob ntawm tib neeg cov pa lom yog dab tsi?

Gas lom kuj hu ua carbon monoxide lom. Cov pa roj carbon monoxide lom feem ntau ua rau hypoxia, thiab cov tsos mob ntawm kev lom neeg tuaj yeem muaj xws li mob me mus rau qhov hnyav. Cov neeg mob uas muaj tshuaj lom me me feem ntau tshwm sim xws li mob taub hau, kiv taub hau, xeev siab, ntuav, ua palpitation, tsis muaj zog, tsaug zog, thiab txawm tias tsis nco qab. Lawv tuaj yeem rov zoo sai sai tom qab ua pa ntawm huab cua ntshiab yam tsis tau tawm hauv cov sequelae. Cov neeg mob uas muaj tshuaj lom me ntsis yog tsis nco qab, tsis yooj yim rau sawv, los yog maj mam comatose. Qee cov neeg mob muaj lub ntsej muag, cherry liab daim di ncauj, ua pa txawv txav, ntshav siab, mem tes, thiab lub plawv dhia, uas tuaj yeem rov zoo nrog kev kho mob, thiab feem ntau tsis tawm hauv cov sequelae. Cov neeg mob uas raug mob hnyav heev feem ntau nyob rau hauv qhov sib sib zog nqus coma, thiab qee tus nyob hauv coma nrog lawv lub qhov muag qhib, thiab lawv lub cev kub, ua pa, ntshav siab, thiab lub plawv dhia yog txawv txav. Pneumonia, pulmonary edema, ua pa tsis ua hauj lwm, lub raum tsis ua hauj lwm, plawv arrhythmia, myocardial infarction, gastrointestinal los ntshav, thiab lwm yam kuj yuav tshwm sim concurrently.

6. Yuav ua li cas nrog cov pa phem?

1. Kev kho mob etiological

Tsis muaj teeb meem dab tsi ntawm cov pa phem lom, nws yog ib qho tseem ceeb heev uas yuav tsum tau tawm hauv qhov chaw lom neeg tam sim ntawd, hloov cov neeg raug lom mus rau qhov chaw uas muaj huab cua ntshiab, thiab ua kom lub ntsws tsis muaj zog. Nyob rau hauv cov ntaub ntawv ntawm cyanide lom, flushable qhov chaw yuav tsum tau ntxuav nrog dej ntau.

2. Kev kho tshuaj

1. Phenytoin thiab phenobarbital: Rau cov neeg mob uas muaj cov tsos mob ntawm tus mob neuropsychiatric, cov tshuaj no tuaj yeem siv los tiv thaiv convulsions, kom tsis txhob tus nplaig tom thaum convulsions, thiab tswj cov neeg mob siab mob siab, mob hawb pob thiab mob ntshav qab zib yuav tsum tau ua tsis taus.

2. 5% sodium bicarbonate tov: siv rau nebulization inhalation los ntawm cov neeg mob uas muaj kua qaub gas lom los txo cov tsos mob ua pa.

3. 3% boric acid tov: siv rau nebulized inhalation nyob rau hauv cov neeg mob uas muaj alkaline gas lom los txo cov tsos mob ua pa.

4. Glucocorticoids: Feem ntau hnoos, ua tsis taus pa luv, hauv siab nruj thiab lwm yam tsos mob, dexamethasone tuaj yeem siv tau, thiab cov tshuaj antispasmodic, expectorant, thiab tshuaj tiv thaiv kab mob yuav tsum tau siv thaum tsim nyog. Nws yuav tsum tau siv nrog ceev faj hauv cov neeg laus thiab cov neeg mob uas muaj lub siab tsis zoo thiab lub raum ua haujlwm. Cov neeg mob uas muaj ntshav siab, txawv txav electrolyte metabolism, myocardial infarction, glaucoma, thiab lwm yam. feem ntau tsis haum rau kev siv.

5. Hypertonic dehydrating agents thiab diuretics: xws li furosemide thiab torasemide los tiv thaiv thiab kho cerebral edema, txhawb cerebral ntshav ncig, thiab tswj kev ua pa thiab circulatory functions. Cov qib Electrolyte yuav tsum tau saib xyuas kom zoo thaum siv cov tshuaj diuretics los tiv thaiv electrolyte cuam tshuam los yog kev siv cov tshuaj potassium ntxiv rau hauv cov hlab ntsha.

3. Kev kho mob phais

Cov pa phem phem feem ntau tsis tas yuav kho phais, thiab tracheotomy tuaj yeem siv los cawm cov neeg mob asphyxiated.

4. Lwm yam kev kho mob

Hyperbaric oxygen therapy: nqus pa oxygen kom nce ib feem ntawm cov pa oxygen hauv cov pa nqus tau pa. Cov neeg mob uas muaj comatose los yog muaj keeb kwm ntawm coma, nrog rau cov uas muaj cov tsos mob ntawm cov hlab plawv thiab cov carboxyhemoglobin nce ntxiv (feem ntau> 25%), yuav tsum tau txais kev kho mob hyperbaric oxygen. kho. Hyperbaric oxygen therapy tuaj yeem ua rau lub cev yaj cov pa oxygen hauv cov ntshav rau kev siv cov ntaub so ntswg thiab cov hlwb, thiab ua kom cov pa oxygen ib feem ntawm lub siab, uas tuaj yeem ua kom cov carboxyhemoglobin cuam tshuam thiab txhawb kev tshem tawm CO, thiab nws qhov kev tshem tawm yog 10 npaug sai dua. tshaj li qhov uas tsis muaj pa nqus pa, 2 zaug sai dua li qhov qub siab oxygen uptake. Hyperbaric oxygen therapy tsis tuaj yeem tsuas yog ua kom luv luv ntawm cov kab mob thiab txo qis kev tuag, tab sis kuj txo qis lossis tiv thaiv qhov tshwm sim ntawm qeeb encephalopathy.

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