142例职业性急性氯乙酸中毒病例临床分析

Clinical Analysis of 142 Cases of Occupational Acute Chloroactic Acid Poisoning

目的对142例急性氯乙酸中毒病例进行分析,探讨氯乙酸灼伤患者的救治方法及效果。方法回顾分析142例急性氯乙酸中毒患者的临床资料。结果氯乙酸对皮肤具有较强的腐蚀性,可经破损皮肤吸收中毒致多种器官损害。结论接触氯乙酸会引起严重的烧伤,烧伤面积小于体表面积的10%时也可能致死。氯乙酸灼伤处理的关键是立即给予大量清水反复冲洗被污染的皮肤,随后湿敷创面,住院后需削痂处理的要及早进行削痂处理,同时给予纠正酸中毒,保护重要脏器的功能,抗感染等治疗。

Objective To analyze 142 monochloroacetic acute poisoning cases and the treatment methods and efficacy of acute chloroactic acid burn . Methods The clinical data of 142 monochloroacetic acute poisoning cases was studied retrospectively. Results Chloroacetic acid had strong corrosive to the skin and could cause multiple organ damage. Conclusion Chloroacetic acid exposure could cause severe burns, it could also be lethal after even exposure of less than 10% of body surface area. The key treatment of chloroacetic acid burn is giving plenty of water immediately to wash the contaminated skin repeatedly, then the wound needs wetting. Cut the traumatic skin in time if needed. At the same time, correcting acidosis, protecting the function of the main visceras and anti-infection, such comprehensive treatment should be given.