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卤素对哺乳动物心肺系统的化学性损伤

Halogen-Induced Chemical Injury to the Mammalian Cardiopulmonary Systems.

作者信息

Addis Dylan R, Aggarwal Saurabh, Lazrak Ahmed, Jilling Tamas, Matalon Sadis

机构信息

Department of Anesthesiology and Perioperative Medicine, Division of Cardiothoracic Anesthesiology, University of Alabama at Birmingham, Birmingham, Alabama.

Comprehensive Cardiovascular Center, University of Alabama at Birmingham, Birmingham, Alabama.

出版信息

Physiology (Bethesda). 2021 Sep 1;36(5):272-291. doi: 10.1152/physiol.00004.2021.

Abstract

The halogens chlorine (Cl) and bromine (Br) are highly reactive oxidizing elements with widespread industrial applications and a history of development and use as chemical weapons. When inhaled, depending on the dose and duration of exposure, they cause acute and chronic injury to both the lungs and systemic organs that may result in the development of chronic changes (such as fibrosis) and death from cardiopulmonary failure. A number of conditions, such as viral infections, coexposure to other toxic gases, and pregnancy increase susceptibility to halogens significantly. Herein we review their danger to public health, their mechanisms of action, and the development of pharmacological agents that when administered post-exposure decrease morbidity and mortality.

摘要

卤素氯(Cl)和溴(Br)是具有高反应活性的氧化元素,在工业上有广泛应用,且有着作为化学武器的开发和使用历史。吸入后,根据接触剂量和持续时间,它们会对肺部和全身器官造成急慢性损伤,可能导致慢性变化(如纤维化)的发展以及因心肺衰竭而死亡。一些情况,如病毒感染、同时接触其他有毒气体和怀孕,会显著增加对卤素的易感性。在此,我们综述它们对公众健康的危害、作用机制,以及暴露后给药可降低发病率和死亡率的药理制剂的研发情况。

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