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  • 文章網 » 養生 » 養生常識 » 苯中毒患者一般有哪些表現 日常需要怎樣護理

    苯中毒患者一般有哪些表現 日常需要怎樣護理

    苯主要以蒸氣狀態經呼吸道吸入,皮膚僅少量吸收,消化道吸收完全。進入體內后,部分以原形由肺呼出;部分在肝臟代謝,通過微粒體混合功能氧化酶進行羥化,轉化為酚、對苯二酚、鄰苯二酚等酚類代謝產物。那么苯中毒患者一般有哪些表現呢?日常該如何護理?苯中毒患者的一般表現1、急性苯中毒

    (1)神經系統:頭痛、眩暈、耳鳴、復視、步態蹣跚、酩酊感、嗜睡,重癥者有抽搐、昏迷、呼吸中樞麻痹、譫妄、幻覺及腦水腫等表現,少數患者出現周圍神經損害;進一步發展為神志模糊加重,進入淺昏迷狀態,呼之不應,繼續吸入高濃度的苯則進入深昏迷。嚴重者呼吸停止,心搏停止。

    (2)呼吸系統:見于吸入中毒,出現咳嗽、憋氣、胸悶,重者持續時間長,或者呼吸微弱時,可并發缺氧性肺水腫,可伴有眼部刺激癥狀。

    (3)循環系統:面色潮紅、心悸、血壓下降,可發生休克、心肌炎、各種心律失常甚至室顫。心電圖可見一至二度房室傳導阻滯。

    (4)消化系統:惡心、嘔吐、腹痛,口服患者癥狀較重。偶有肝大、氨基轉移酶升高。急性中毒主要引起中毒性麻醉,其過程與酒醉或手術時的全身麻醉相似。

    2、慢性苯中毒

    除神經系統外,還影響造血系統。神經系統常見的表現為神經衰弱和植物神經功能紊亂綜合征;個別病者可有肢端感覺障礙,出現痛、觸覺減退、麻木,也可發生多發性神經炎。造血系統損害的表現是慢性苯中毒的主要特征,女性月經過多;嚴重者發生全血細胞減少和再生障礙性貧血;個別有嗜酸性粒細胞增多或有輕度溶血。

    苯還可引起骨髓增生異常綜合征。苯接觸所致白血病逐漸增多。苯引起白血病多在長期高濃度接觸后發生,最短6個月,最長23年。白血病以急性粒細胞白血病為主,其次為急性淋巴細胞白血病和紅白血病,而慢性粒細胞白血病少見。苯中毒的急救護理

    1、吸入中毒者,應迅速將患者移至空氣新鮮處,保暖休息。

    2、口服中毒者應用0.005的活性炭懸液或0.02碳酸氫鈉溶液洗胃催吐,然后服導瀉和利尿藥物,以加快體內毒物的排泄,減少毒物吸收。

    3、皮膚中毒者,應換去被污染的衣服和鞋襪,用肥皂水和清水反復清洗皮膚和頭發。

    4、有昏迷、抽搐患者,應及早清除口腔異物,保持呼吸道的通暢,由專人護送醫院救治。

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