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The names of diseases (English) cyanide poisoning Pinyin QINGHUAWUZHONGDU Classification of Diseases code alias Western poisoning and chemical da


mage, disease name Western medicine defines disease classification codes from the inhalation of hydrogen cyanide gas or dust caused by salt poisoning. Western medicine cause cyanide release were bitter almond, loquat Kai Yan, walnuts, gingko nuts and cassava, or processing a large number of food poisoning when poor children more susceptible to poisoning after eating. Industrial production are more opportunities for exposure to cyanide: quenching, metallurgy, photography, organic synthesis, organic glass, manufacture of acrylonitrile and pesticides. Cyanide poisoning, including inorganic and organic cyanide cyanide (or nitrile compounds) poisoning. The chemical structure of these two types of cyanide in both highly toxic cyanide (CN) group, can inhibit the biological tissue of oxygen, causing tissue hypoxia resulting from the performance of a series of poisoning. Traditional seasonal population with long-term exposure causes low concentration of cyanide workers. Communication incidence and intensity of the pathogenesis of cyanide via the respiratory tract, gastrointestinal tract and skin absorption. Absorption in vivo inhibition of 40 kinds of enzymes, the most important is the inhibition of cytochrome oxidase. Cyanide and ferric iron binding enzyme and prevent it reduced to ferrous iron. Thereby blocking the biological oxidation process of electron transfer, so that cells can not use oxygen, causing suffocation cells. TCM pathology pathophysiology of cyanide toxicity, depending on their metabolism cyanide ion precipitation (CN-) the speed and quantity. Such as hydrogen cyanide, potassium cyanide and acrylonitrile in the body can rapidly precipitate CN-, thus toxic. Halogen cyanide inhalation can cause eye, nose, upper respiratory tract irritation, and may have delayed pulmonary edema. Nitrile compounds in acetonitrile and acrylonitrile molecule itself is directly on the central nervous system inhibition.
Most of the hydrogen cyanide discharged from the lungs, but some in the liver combined with sulfur in the thiocyanate (toxic as cyanide, 1 / 200), with the urine. Need to be applied in vivo detoxification agent and methemoglobin formation agent for the treatment of sulfur cyanide poisoning. Western medicine diagnosis standard diagnostic criteria for diagnosis of Western medicine diagnosis is based on a history of symptoms and signs of onset of acute poisoning in the short term often due to inhalation of hydrogen cyanide or a large number of oral potassium cyanide or sodium cyanide more than 100mg due. That occurred in patients are dizziness, fatigue, chest tightness, shortness of breath, limb tonus, rapid access to a coma, can be sudden death within 1-3min, called "shock-like" death. prodromal period: numb tongue, throat discomfort, dizziness, headache, nausea, vomiting, incoordination, exhaled a bitter almond flavor.
difficulty breathing period: a chest tightness, shortness of breath, weakness, disturbance of consciousness, pupil dilation, fear was cherry red skin and mucous
spasm of: trismus, limb tonus and coma.
paralysis stage: lower body temperature, blood pressure, slow breathing, cardiac arrhythmia, the feeling disappeared, incontinence, and often has to stop due to respiratory and cardiac death.
Long-term exposure to low concentrations of cyanide in the workers may have headaches, fatigue, insomnia, chest tightness, muscle pain and other symptoms. dermatitis caused by cyanide rash, manifested as rashes, pimples, herpes, and scaling, residual pigmentation after healing. A small number of poisoning patients medical acetonitrile frequent urination and proteinuria; acrylonitrile poisoning in patients with liver damage. Nitrile compounds poisoning can leave behind their sense of survival in patients with type polyneuritis or spinal cord anterior horn damage caused by muscle atrophy and muscle tremor. Electrical diagnostic imaging diagnostic laboratory diagnosis of blood in urine other diagnostic cerebrospinal fluid immunological fecal histological examination certificate in Traditional Chinese Medicine Western medicine diagnosis identifying prognostic evaluation standard Western medical treatment of complications of acute cyanide poisoning should be immediately given amyl nitrite 1 - 2 inhalation and intravenous sodium nitrite 3% solution of 10ml ,2-3min injection is completed. Then the needle can be injected in the original 25% sodium thiosulfate 50ml, about 10 min end of the injection; if the 30-60min after the end of reducing the symptoms were, and then repeated injections of sodium thiosulfate. Chinese Acupuncture and Chinese Medicine Integrative Medicine Massage care and rehabilitation to prevent cyanide operation in the workshop must have these drugs, operating workers should receive safety education, and to self-help and mutual aid. Historical research


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