[由化学烧伤引起的眼睛损伤:测量pH值]
Andrea Pizzorno1, Lauriane Friedrich2, Vânia Tavares2
1Infirmière, Service des urgences, Hôpital cantonal de Fribourg, 1708 Fribourg.
Revue medicale suisse
|June 26, 2025
概括
应急部门可以通过大量灌和pH测量有效地管理眼部化学烧伤. 该方案旨在减少痕和预防眼睛损伤的并发症.
科学领域:
- 眼科医生 眼科 眼科
- 紧急医疗 紧急医疗
- 毒理学 毒理学 毒理学
背景情况:
- 眼睛受伤,包括化学和热烧伤,经常需要在专家工作时间以外的急诊室 (ED) 护理.
- 这些烧伤占所有ED患者眼部损伤的很大一部分 (7-18%).
- 目前在ED的初级护理管理协议往往缺乏.
研究的目的:
- 描述眼睛烧伤的临床表现.
- 概述ED环境中化学烧伤的基本初始管理策略.
- 为眼睛烧伤的立即护理提出一个标准化的协议.
主要方法:
- 对眼部烧伤的临床表现的审查.
- 描述当前和拟议的初始管理技术.
- 强调立即干预,如大量灌和pH值评估.
主要成果:
- 丰富的灌对于去除病原体和预防组织损伤和痕至关重要.
- 在ED中使用pH测量设备的可用性对于评估化学损伤的程度至关重要.
- 及时和适当的初始治疗可以显著影响患者的结果.
结论:
- 需要一个明确的协议,用于EDs的眼部烧伤的初始管理.
- 有效的初始管理侧重于污染清除,评估和稳定.
- 这种方法旨在限制损伤,促进愈合,并预防长期并发症.
相关概念视频
Buffer Effectiveness
Buffer solutions do not have an unlimited capacity to keep the pH relatively constant . Instead, the ability of a buffer solution to resist changes in pH relies on the presence of appreciable amounts of its conjugate weak acid-base pair. When enough strong acid or base is added to substantially lower the concentration of either member of the buffer pair, the buffering action within the solution is compromised.
The buffer capacity is the amount of acid or base that can be added to a given volume...
The buffer capacity is the amount of acid or base that can be added to a given volume...
Indicators
Certain organic substances change color in dilute solution when the hydronium ion concentration reaches a particular value. For example, phenolphthalein is a colorless substance in any aqueous solution with a hydronium ion concentration greater than 5.0 × 10−9 M (pH < 8.3). In more basic solutions where the hydronium ion concentration is less than 5.0 × 10−9 M (pH > 8.3), it is red or pink. Substances such as phenolphthalein, which can be used to determine the pH of a solution, are called...
pH
The potential of hydrogen (pH) is a measure of the acidity or basicity of a water-based solution determined by the concentration of hydronium ions (H3O+). In one liter of pure water at neutral pH, there are 1×10−7 moles of hydronium ions. However, the extensive range of hydronium ion concentrations present in water-based solutions makes measuring pH in moles cumbersome. Therefore, a pH scale was developed to convert moles of hydronium ions into the negative logarithm of the hydronium ion...
Burn Injuries
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
Toxic Reactions: Overview
When toxic substances penetrate the human body, they disseminate to various tissues, undergoing metabolic changes. This process yields reactive metabolites that may covalently bind with specific target molecules, resulting in toxicity.
Toxicity falls into two primary categories: local and systemic.
Local toxicity appears at the exposure site, such as protein denaturation caused by caustic substances.
In contrast, systemic toxicity requires the toxic agent's absorption and distribution,...
Toxicity falls into two primary categories: local and systemic.
Local toxicity appears at the exposure site, such as protein denaturation caused by caustic substances.
In contrast, systemic toxicity requires the toxic agent's absorption and distribution,...
Ophthalmic Drug Delivery Systems
Ophthalmic drug delivery faces major limitations due to poor absorption across the corneal membrane. This process is primarily driven by diffusion and is influenced by two main factors: the physicochemical properties of the drug and tear drainage. Most ophthalmic drugs, such as pilocarpine, epinephrine, atropine, and local anesthetics, are weak bases. They are typically formulated at an acidic pH to enhance chemical stability. However, this leads to high ionization, reducing their ability to...


