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[The rescue modalities and etiology of acute organic solvent poisoning]
Xiao-li Zhu1, An Li, Feng-tong Hao
1Department of Occupational Disease and Clinical Toxicology, Beijing Chao-Yang Hospital affiliated to Capital University of Medical Sciences, Beijing 100020, China.
Objective:
To investigate the rescue modalities and etiology of acute organic solvent poisoning.
Methods:
A total of 776 cases of acute organic solvent poisoning were analyzed retrospectively. The kinds of organic solvents, the modes of exposure, the characteristics of poisoning and the methods of treatment were analyzed.
Results:
Poisoning was due to occupational exposure to organic solvents in 87.4%, the other was exposed in daily life. The total number of organic solvents harming the patients was 55. The most common three of the organic solvent poisoning were halogenated hydrocarbons poisoning, hydrocarbons poisoning, amino- and nitro-hydrocarbons poisoning. The accidents of mass poisoning were increasing in numbers recently, especially the acute halogenated hydrocarbons poisoning.
Conclusion:
To know the numerous poisonings responsible for acute solvent poisoning is essential for enhancing the pre-hospital care, emergency treatment and following treatment. Also, extensive clinical knowledge and numerous biologic laboratory tests are needed to improve the diagnosis and rescue of acute solving poisoning. Effect of therapeutic plasma exchange treatment on sever acute poisoning is with a positive attitude.
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