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[氢氟酸灼伤。一种罕见的化学紧急情况]

[Hydrofluoric acid burns. A rare chemical emergency situation].

作者信息

Richter H, Hollenberg S, Sachs H-J, Oeltjenbruns J, Weimann J

机构信息

Klinik für Anaesthesiologie und operative Intensivmedizin, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin.

出版信息

Anaesthesist. 2005 Feb;54(2):123-6. doi: 10.1007/s00101-004-0733-x.

Abstract

Burns caused by hydrofluoric acid can be life-threatening. Of special significance is the often underestimated local and sometimes delayed deep action of the highly diffusible free fluoride ions and the accompanying systemic toxicity. The specific antidote calcium gluconate can be topically applied, injected into tissue or infused intra-arterially. Because of the extreme danger of systemic toxicity even after seemingly trivial injuries, monitoring in the intensive care station, especially by measuring the calcium concentration in blood and electrocardiography, and therapy is recommended.

摘要

氢氟酸导致的烧伤可能会危及生命。特别值得注意的是,极易扩散的游离氟离子通常被低估的局部作用以及有时出现的延迟性深部作用,还有随之而来的全身毒性。特效解毒剂葡萄糖酸钙可局部应用、注射到组织中或动脉内输注。由于即使看似轻微的损伤也存在全身毒性的极端危险,建议在重症监护病房进行监测,尤其是通过测量血液中的钙浓度和进行心电图检查,并给予相应治疗。

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