Koriakov V V, Gol'dfarb Iu S
Anesteziol Reanimatol. 1995 May-Jun(3):59-60.
The clinical picture of poisonings with gray mercury ointment in 56 patients after its cutaneous applications is described. The patients developed gastrointestinal disorders, nephro- and hepatopathies, fever, and dermatitis. The concentration of mercury in the blood was as high as 800 micrograms/liter. The principal agent in conservative therapy is unithiol as an antidote. In grave and medium-severe poisonings hemoperfusion is the most effective modality; early administration of this measure helps appreciably alleviate the course of the disease and prevent the complications most hazardous for life (acute renal failure, etc.).
描述了56例皮肤涂抹含汞灰膏中毒患者的临床症状。患者出现胃肠道紊乱、肾病和肝病、发热及皮炎。血液中汞浓度高达800微克/升。保守治疗的主要药物是二巯丁二钠作为解毒剂。在重度和中度中毒时,血液灌流是最有效的治疗方式;尽早采取此措施有助于显著缓解病程并预防对生命最具危险的并发症(急性肾衰竭等)。