Poisoning by vinegar
Vinegar or vinegar essence is, perhaps, in almost every home. Housewives use it for pickling, baking, along with soda used for cleaning in everyday life. But it happens that vinegar is the cause of poisoning.
Poisoning with vinegar in most cases occurs intentionally, but it is possible to take vinegar through carelessness or by mistake.
The effects of vinegar on the body
Table vinegar in 9% concentration in small doses will not cause much harm. But the reception of a large amount of vinegar or poorly diluted solution in a concentration of 30% can lead to death. And fast death can occur from various complications:
- direct effect on tissues with painful shock, fluid release and blood loss;
- effect on blood with destruction of cells and changes in the acidity of the medium;
- acute renal dysfunction due to blockage of blood vessels in them by the products of cell breakdown;
- damage to vital organs due to malnutrition.
It is very important that acetic acid not only acts on the tissue by direct contact. It is also very well absorbed (the process of resorption), penetrating, thus, into the blood and spread throughout the body.
Therefore, the effects of vinegar and developing symptoms are divided into local and resorptive. In fact, after poisoning with vinegar, burn disease develops.
The clinical picture of vinegar poisoning
In general, the clinical course of bite poisoning can be divided into stages:
- intoxication (toxemia);
- stage of infectious and inflammatory complications;
- recovery stage.
Immediately after penetration into the human body, acetic acid burns tissue, causing a chemical burn. There are deep pockets of dry necrosis, that is, tissue necrosis. At the same time a lot of liquid is lost, the walls of blood vessels are destroyed, bleeding is possible. Expressed pain.
Severe, deep, sharply painful burns appear on the lips, mouth and lower along the path of ingestion of vinegar. There is vomiting with blood. Inhalation of the vinegar vapors and the ingestion of vinegar into the lungs when vomiting leads to a burn of the respiratory tract mucosa.
Edema develops in the bronchi and lungs, shortness of breath. On examination, a strong vinegar odor, burns around the mouth, mouth and throat, pain on palpation (palpation) of the abdomen, signs of peritoneal irritation, shortness of breath, vomiting attracts attention.
At this stage, the consequences of vinegar poisoning will be shock reactions:
- pain shock;
- hypovolemic shock;
- hemorrhagic shock.
All of them can lead to death in a short time. With shock, blood pressure drops sharply, cardiac activity changes, skin is cold, consciousness is changed.
Meanwhile, the vinegar penetrates deeper. Erythrocytes and other cells are destroyed in the blood, the coagulation process is immediately disturbed. The renal tubules and vessels are blocked by destroyed hemoglobin. Urine becomes small. Urea, creatinine and other metabolic products circulate in the blood in ever-increasing concentrations. Due to poisoning with these substances and from malnutrition of the tissues, signs of organ damage appear gradually. Damage to the central nervous system, liver, kidneys, heart can become critical and push the scales to death.
Inflammatory processes begin to form in the lungs. Join tracheobronchitis, pneumonia. Because of the increasing intoxication, the brain suffers, acute psychosis can develop. All violations are confirmed by test results. In the urine hemoglobin and protein are determined, it becomes reddish. In the biochemical analysis of blood, the concentration of urea, creatinine, uric acid increases, and markers of acute damage to the liver and heart appear. In general, the analysis of blood - hemolysis, a violation of the structure and number of blood cells, the appearance of free hemoglobin. In the blood coagulation system imbalance.
After relative stabilization, symptoms of exhaustion and asthenia prevail in the clinical picture. These are manifestations of deficiency of microelements, proteins, insufficient function of organs, violation of the supply of oxygen to tissues.
In addition to the symptoms of acute and subacute period of vinegar poisoning, there are also manifestations of the recovery period. Places chemical burns roughly rumen. This leads to narrowing of the esophagus and deformation of the stomach. In case of a pronounced organ damage, signs of a decline in their functioning remain.
Treatment with vinegar poisoning
The objectives of the treatment for vinegar poisoning are:
- maximum complete cleansing of the gastrointestinal tract;
- shock therapy;
- correction of developing disorders;
- maintaining the work of organs and body systems;
- prevention of complications and long-term effects.
In case of poisoning with vinegar, treatment is carried out in a hospital, and in case of a serious condition even in the intensive care unit. First aid in case of poisoning with vinegar is gastric lavage and full pain relief of the victim .
Abundant gastric lavage should be carried out before the victim enters the hospital. At the same time it is impossible to carry out this procedure directly, giving to drink and causing vomiting . After all, with vomiting, the acid will again go the same way, again damaging the wall of the esophagus, increasing necrosis and leading to bleeding.
In addition, if acetic essence was taken, slow fractional washing can worsen the patient's condition. After all, concentrated solutions act mainly locally, whereas at dilution such a solution will begin to be rapidly absorbed. And this should be prevented.
Therefore, in the first hours after poisoning, the stomach is washed with a thick probe smeared with petroleum jelly. Also it is impossible to use for washing water with soda (sodium bicarbonate). The carbon dioxide produced during the quenching of soda will stretch the burned tissue, leading to bleeding.
Flush the stomach should be only cold clean water. Usually it takes up to 15 liters of water to get clean enough wash water.
Anesthesia is carried out with the help of narcotic and non-narcotic analgesics. Atropine, an antispasmodic, is also administered at the same time. To reduce the intoxication using massive infusion therapy, often with the addition of hormonal drugs.
After recovery, the development of pronounced post-burned stenosis of the esophagus can be performed with surgical treatment or bougienage.
A full treatment of vinegar poisoning is complex, long-lasting, its volume depends on the severity of the condition of the victim and the symptoms present. Timely and properly provided first aid in vinegar poisoning and the subsequent treatment of burn disease significantly increase the chance of survival.
Vinegar poisoning is a formidable condition that threatens life at different stages of its course. Taking a vinegar with a suicidal purpose dooms itself to agony.
To protect the home, vinegar should be stored in a signed container out of the reach of children and disabled citizens places.