What are the symptoms of drowning similar to poisoning
summary
Drowning refers to asphyxia caused by water inhalation into the lung (90% wet drowning) or throat contracture (10% dry drowning). In case of fresh water drowning, hypotonic water can penetrate into blood vessels from alveoli, causing hemodilution, increase of blood volume and hemolysis, increase of blood potassium, decrease of sodium, nitrogen and plasma protein, and cardiac arrest. In case of seawater drowning, hypertonic seawater can suck out water through alveoli, causing blood concentration and blood volume reduction, electrolyte diffusion to pulmonary capillaries, resulting in increased blood potassium and sodium, and pulmonary edema. Drowning can lead to systemic hypoxia and brain edema. Lung infection can occur when the lung enters the sewage. Rapid breathing, hypoxemia, disseminated intravascular coagulation, acute renal failure and other complications may occur in the course of disease. The symptom of drowning is similar to that of poisoning.
What are the symptoms of drowning similar to poisoning
1. facial swelling, conjunctival congestion, mouth and nasal cavity filled with bloody foam, skin and cyanosis, limb cold, irritability or confusion, irregular breathing, lung rales, weak heart sound and irregular, upper abdomen fullness.
2. Hemodilution and hemolysis were found in fresh water drowning, and blood concentration and hyperkalemia were found in seawater drowning.
3. Serious cases died of cardiac arrest and respiratory arrest.
matters needing attention
1. 3% hypertonic saline can be used intravenously for freshwater drowning, and 5% glucose or low molecular dextran can be used intravenously for seawater drowning. 2. Patients with heart failure can be treated with furosemide. 3. The patients with pulmonary infection should choose antibiotics with strong effect. 4. Glucocorticoid was used in patients with brain edema, pulmonary edema and hemolytic reaction. 5. 20% mannitol and furosemide can be used in patients with acute renal failure. 6. Respiratory stimulants can be used as appropriate.