How is botulism treated?
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Recently, according to the reports of colleagues in different places, many cases of botulinum toxin poisoning have sprung up all over the country, especially in Jiangsu, Zhejiang, Shanghai and other places. Therefore, it is necessary to popularize botulinum toxin poisoning knowledge for relevant people. Now let me talk to you about how to treat botulism?.
How is botulism treated?
First: antitoxin therapy: ① early administration of botulinum antitoxin serum, injection within 24 hours after onset or before paralysis is the most effective. ② Intravenous or intramuscular injection of 50000-80000 u once, 6 hours if necessary, and then repeated injection. If the dosage is more than heavy, the dosage will be doubled. ③ After more than a period of time, the effect of antitoxic serum is not good, and symptomatic support treatment is needed. After the formation of new synaptic buds and the reconstruction of neuromuscular conduction, the symptoms can gradually improve.
Second: support and symptomatic treatment. ① when the disease is initially diagnosed or suspected to be the disease, blood gas analysis should be carried out in time to monitor the respiratory function. ② Oxygen should be given to patients with dyspnea, and artificial respiration should be carried out when necessary. ③ When there is secretion accumulation in the throat, the aspirator is used to suck it out. ④ Patients with dysphagia were given nasal feeding or intravenous nutrition. ⑤ When pneumonia and other secondary infections occur, appropriate antibiotics should be given.
Third: differentiation from myasthenia gravis: Mg is more common in young female patients, with thymoma. The symptoms of myasthenia gravis are mild in the morning and severe in the evening or fluctuate. Botulinum toxin poisoning patients may have blepharoptosis with proximal limb weakness, but denied that symptoms fluctuate and light in the morning and heavy in the evening. EMG showed that some myogenic damage or presynaptic membrane damage was not excluded.
matters needing attention
People love beauty, but they can't pay the price of their lives. In short, botulinum toxin can't be beaten. It's the right dose of botulinum toxin from the right channel.
