Kev raug tshuaj lom Ethylene glycol

Ethylene glycol yog cov xim tsis muaj xim, tsis muaj ntxhiab, qab qab-tshuaj lom neeg. Nws yog cov tshuaj lom yog tias tau nqos.

Ethylene glycol tuaj yeem nqos tau yuam kev, lossis nws yuav yog txhob txwm siv los tua tus kheej lossis ua rau haus dej haus cawv (ethanol). Feem ntau cov tshuaj lom ethylene glycol tshwm sim vim kev noj cov tshuaj tiv thaiv kev tsis haum.

Kab lus no yog rau cov lus qhia xwb. TSIS TXHOB siv nws los kho lossis tswj qhov ua kom lom raug tshuaj lom. Yog tias koj lossis ib tus neeg koj tau kis mob, hu rau koj tus lej kub ceev hauv nroog (xws li 911), lossis lub chaw tswj tshuaj lom neeg hauv koj lub nroog tuaj yeem hu ncaj qha los ntawm kev hu xovtooj rau Lub Tebchaws Tus Xov Tooj Pab Dawb Phem (1-800-222-1222 ) los ntawm txhua qhov chaw hauv Asmeskas.

Ethylene glycol

Ethylene glycol muaj nyob hauv ntau tsev neeg cov khoom lag luam, suav nrog:

• Tshuaj tua hluav taws
• Kev ntxuav dej ua kua
• De-icing khoom
• Xab npum
• Lub tsheb nres kua
• Muaj cov kuab tshuaj
• Xim tsev
• Tshuaj pleev ib ce

Nco tseg: Cov npe no tsis yog txhua yam.

Thawj qhov tsos mob ntawm ethylene glycol kev noj haus zoo ib yam li qhov kev xav los ntawm kev haus cawv (cawv cawv). Tsis pub dhau ob peb teev, ntau dua cov kev ua kom mob tshwm sim tau pom tseeb. Cov tsos mob yuav muaj xws li xeev siab, ntuav, nriaj teeb meem, poob ntsej muag (poob qis ntawm qhov ceevfaj), lossis tseem hnovqab tsis xeev.

Ethylene glycol toxicity yuav tsum xav tias tsam tus neeg muaj mob hnyav tom qab haus ib qho tsis paub, tshwj xeeb yog tias thaum lawv pom cawv thiab koj tsis tuaj yeem hnov ​​tsw cawv ntawm lawv cov pa.

Kev noj tshuaj ntau dhau ntawm ethylene glycol tuaj yeem ua kev puas tsuaj rau lub hlwb, lub ntsws, lub siab, thiab lub raum. Cov tshuaj lom ua rau lub cev lom neeg lub cev, suav txog kev mob plab acid acid (nce ntxiv cov acids nyob rau hauv cov hlab ntshav thiab cov ntaub so ntswg). Qhov kev txawv txav yuav loj heev uas yuav ua rau mob siab, lub cev tsis ua haujlwm, thiab tuag taus.

Raws li tsawg li 120 milliliti (kwv yees li 4 kua ooj) ntawm ethylene glycol tej zaum yuav txaus tua ib tus txiv neej nruab nrab.

Nrhiav kev pab kho mob sai li sai tau. TSIS TXHOB ua rau ib tus neeg muab pov tseg tshwj tsis yog kom hais los ntawm lub chaw tswj tshuaj lom lossis tus kws tswj kev noj qab haus huv.

Txiav txim siab rau cov ntaub ntawv hauv qab no:

• Tus neeg muaj hnoob nyoog, hnyav, thiab mob li cas
• Lub npe ntawm cov khoom (cov khoom xyaw thiab kev ua tau zoo, yog tias paub)
• Lub sijhawm nws tau nqos tau
• Tus nqi nqos

Koj lub chaw tswj tshuaj lom hauv zos tuaj yeem hu ncaj qha los ntawm kev hu xov tooj rau Xov Xwm Pab Kev Nyab Xeeb Tus Xov Xwm Hu Tuaj Dawb (1-800-222-1222) los ntawm txhua qhov chaw hauv Tebchaws Asmeskas. Tus xov tooj no yuav cia koj tham nrog tus kws paub txog tshuaj lom. Lawv yuav muab koj cov lus qhia ntxiv.

Nov yog pub dawb thiab pub leej twg paub. Txhua lub chaw tswj tshuaj lom nyob hauv Tebchaws Meskas siv tus lej no. Koj yuav tsum hu yog tias koj muaj lus nug txog kev tiv thaiv kev lom lossis tshuaj lom. TSIS TXHOB yuav tsum muaj xwm txheej ceev. Koj tuaj yeem hu xov tooj rau ib qho laj thawj twg, 24 teev hauv ib hnub, 7 hnub hauv ib lub lis piam.

Nqa cov thawv nrog koj mus tom tsev kho mob, yog tias ua tau.

Tus kws kho mob yuav ntsuas thiab ntsuas tus neeg cov cim tseem ceeb, suav nrog kev ntsuas kub, mem tes, dhia pa, thiab ntshav ntaws.

Kev kuaj pom kev tsis sib haum ntawm ethylene glycol feem ntau yog ua los ntawm kev sib xyaw cov ntshav, zis, thiab lwm yam kev sim xws li:

• Arterial tsom xam cov ntshav roj
• Chemistry vaj huam sib luag thiab daim siab ua haujlwm tshawb
• Xoo fais fab xoo (qhia kua hauv lub ntsws)
• Ua kom tiav cov ntshav suav (CBC)
• CT scan (pom tias lub hlwb o)
• EKG (electrocardiogram, lossis lub plawv khiav)
• Ethylene glycol kuaj ntshav
• Ketones - ntshav
• Osmolality
• Toxicology npo
• Mob Lub Hlaus

Kev ntsuam xyuas yuav qhia cov qib sib npaug ntawm cov tshuaj ethylene glycol, kev cuam tshuam tshuaj lom ntshav, thiab cov cim qhia ntawm lub raum tsis ua haujlwm thiab cov leeg nqaij lossis lub siab puas.

Cov neeg feem ntau uas muaj cov tshuaj lom neeg ntshaus plab glycol yuav tsum tau mus nyob hauv tsev kho mob chav saib xyuas mob (ICU) rau kev soj ntsuam kom zoo. Yuav tsum siv lub tshuab nqus pa (tshuab pa ua pa).

Cov neeg uas nyuam qhuav dhau los (li ntawm 30 mus rau 60 feeb ntawm kev nthuav qhia mus rau chav haujlwm xwm txheej ceev) nqos tau cov ethylene glycol yuav muaj lawv lub plab los nqus (nqus). Qhov no tuaj yeem pab tshem qee cov tshuaj lom.

Lwm yam kev kho mob suav nrog:

• Siv lub tshuab hluav ncaig
• Sodium bicarbonate tov muab los ntawm cov leeg ntshav (IV) kom rov qab hnyav acidosis
• Cov tshuaj tiv thaiv kev ua kom tsis haum (fomepizole) uas ua kom qeeb ntawm kev ua kom muaj kuab lom by-cov khoom hauv lub cev

Hauv cov xwm txheej loj, siv ntshav lim (lub raum tshuab) tuaj yeem siv ncaj qha rau ethylene glycol thiab lwm yam tshuaj lom los ntawm cov ntshav. Kev lim ntshav txo qis lub sij hawm uas lub cev xav tau kom tshem cov co toxins. Kev lim ntshav tseem siv tau los ntawm cov neeg uas muaj lub raum tsis ua haujlwm vim yog raug kuab lom. Tej zaum yuav xav tau ntau lub hlis thiab tej xyoo, tom qab ntawv.

Ib tug neeg muaj mob ntau npaum li cas yog nyob ntawm kev kho mob sai npaum li cas, qhov nqos tau tsawg, cuam tshuam rau cov plab hnyuv siab raum, thiab lwm yam. Thaum kho tau qeeb, hom kev tuaj yeem ua kom tuag taus.

Teeb meem yuav suav nrog:

• Lub hlwb thiab leeg puas, nrog rau qaug dab peg thiab pauv ntawm lub zeem muag
• Raum tsis ua haujlwm
• Poob siab (tsis tshua muaj ntshav siab thiab mob siab ua haujlwm)
• Coma

Intoxication - ethylene glycol

• Tshuaj lom neeg

Aronson JK. Glycols. Hauv: Aronson JK, ed. Meyler Qhov tshwm sim los ntawm Cov TshuajCov. 16th ed. Waltham, MA: Elsevier; 2016: 567-570.

Nelson ME. Cawv cawv. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: cha 141.