毒理性
治疗是对症和支持性的。不应使用油作为泻药或皮肤清洁剂,因为它们会增加吸收。对于摄入,应进行胃灌洗和使用活性炭和硫酸钠。如果发生皮肤暴露,应去除受污染的衣物,并用肥皂和水彻底清洁皮肤。儿童和成人的癫痫管理使用的是安定或苯巴比妥。特别是在儿童中使用安定和苯巴比妥时,可能会出现呼吸抑制甚至呼吸停止。这些药物最好只在可以进行紧急气管插管的重症监护区使用。... 对于有机氯中毒的患者,不能使用肾上腺素,因为有机氯化物会引起心肌兴奋性和室性心律失常。然而,在液体管理无反应的低血压情况下,可能需要使用多巴胺,在心肺骤停的情况下,可能需要使用肾上腺素。... 在病因因素尚未明确的重症昆虫剂暴露患者中,不应推迟试用阿托品和新斯的明,因为这些药物在有机磷中毒中可能证明是救命稻草。必须谨慎使用阿托品,因为它可能引起室性兴奋性,特别是在存在如有机氯化物这样的心肌刺激物时。... 在急性林丹或其他有机氯化物中毒的情况下,应进行至少48至72小时的血液学、肝脏(特别是对剧毒的异狄氏剂)、肾脏研究以及心肺监测。对于林丹中毒的患者,需要长期的血液学随访。由于这些物质的载体可能是二甲苯或石油馏分,管理还必须包括对这些实体的观察和治疗。/有机氯杀虫剂/
Treatment is symptomatic and supportive. Oils should not be used as either cathartics or dermal cleansing agents, as they increase absorption. Gastric lavage and use of activated charcoal and sodium sulfate are indicated for ingestion. If dermal exposure occurred, contaminated clothes should be removed, and the skin should be thoroughly cleansed with soap and water. Management of seizures in both children and adults is with Valium or phenobarbital. Respiratory depression and even respiratory arrest especially with concomitant use of Valium and phenobarbital in children, may occur. These drugs preferably should be used only in critical care areas where emergency endotracheal intubation can be performed. ... Epinephrine can not be utilized in patients with organochlorine posioning, as the organochlorines induce myocardial irritability and ventricular arrhythmias may occur. However, dopamine may be necessary in the event of hypotension unresponsive to fluid administration, and epinephrin may be necessary in the event of cardiopulmonary arrest. ... In a critically ill patient with unknown insecticide exposure, a trial of atropine and pralidoxime should not be withheld until the etiologic agent is discovered, for the use of these agents may prove life-saving in organophosphate poisoning. Atropine must be used with caution, as it can cause ventricular irritability, especially when a mycardial irritant such as an organochlorine is present. ... Hematologic, hepatic (especially with endrin, which is markedly hepatotoxic), and renal studies as well as cardiopulmonary monitoring should be carried out in acute intoxication from lindane or other organochlorines for at least 48 to 72 hr. Long term hematologic follow-up is necessary for the patient with lindane intoxication. As the carrier for these agents may be xylene or a petroleum distillate, management also must include observation and treatment for these entities. /Organochlorine pesticides/
来源:Hazardous Substances Data Bank (HSDB)