Thursday, March 21, 2013

Clinical manifestation of arsenic poisoning

Clinical manifestation of arsenic poisoning
Take acute arsenic poisoning and early common digestive tract symptom orally, such as mouth and throat portion have doing, pain, burning, tightening the senses, hoarseness, disgusting, vomits, swallows and difficult and suffering from abdominal pain and suffering from diarrhoea etc.. The vomit first it is stomach content thing and rice swill water sample, the ones that continued were mixed with the blood, mucus and bile, mix small one of arsenide not absorbed sometimes; The vomit can have a kind of smell of garlic. Serious disease is like cholera very much, begin to arrange a large number of water sample excrement and urine, turn into courage and uprightness later, it is the swill water sample of rice that is mixed with the blood silk, dehydration, acidosis even shock take place quickly. There can be headache, dizzy, agitation, delirium, poisoning myocarditis, multiple neuritis,etc. at the same time. Minority have nasal hemorrhage of nose and skin to bleed. Can breathe, circulate, liver, kidney function depleted and centre by neuropathy to happen several days 24 hour after poisoning, present critical sign of having difficulty in breathing, fainting from fear, going into a coma etc., a few patient can shock appears, even die in 48 hour 20 minute after poisoning, gastrointestinal symptom is not prominent. Ill there can be blood porphyrin diseases and break out, the urine Bu's gallbladder is original and strong and positive. Arsenic hydrogen poison have a haemolysis often. Symptom of the multiple neuritis appears at the time of inferior acute poisoning, four limbs feel unusual, first pain, numb, unable, weak, until complete paralysis or the whole paralysis, wrist hanging down, foot hanging down and tendon areflexia,etc. appears; Or swallow difficulties, pronounce and breathe the obstacle. Because the blood vessel draws back the function obstacle easily, flush or erythema the skin happens sometimes. It is weak that the chronic poisoning patient is shown as more, lose the appetite, sick, vomit, constipation or diarrhoea,etc.. Shang Ke reduces leucocyte and blood platelet, anaemia, erythrocyte and bone marrow cell produce the obstacle, depilate, stomatitis, rhinitis, nasal septum ulcer, punching, skin pigmentation, there can be peeling dermatitis. The palm and excessive angle of digital skin, the nail tarnishes and levels the state, become thin and fragile, white horizontal line appears, and liver and cardiac muscle are damaged. Poison patient, take place arsenic, the intersection of urine and arsenic and point ' Toe) First arsenic content increases. The disease which is taken a large number of arsenic orally, while making the X-ray examination of belly, can find that there are materials that X-rays can't be penetrated in its gastrointestinal tract.
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