The Diagnosis and Treatment of Acute Acrylonitrile Poisoning: A Clinical Study of 144 Cases

The Diagnosis and Treatment of Acute Acrylonitrile Poisoning: A Clinical Study of 144 Cases: Yuqing Chen, et al. Division of Occupational Medicine, Jinshan Hospital of Shanghai Medical University—An analysis of clinical manifestations and emergency treatment of 144 cases of acute acrylonitrile (ACN)...

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Bibliographic Details
Published in:Journal of occupational health 1999-07, Vol.41 (3), p.172-176
Main Authors: Chen, Yuqing, Chen, Changfa, Jin, Shenxiong, Zhou, Lin
Format: Article
Language:English
Subjects:
Acrylonitrile
Amyl nitrite
Methemoglobin‐producing agent (MHbPA)
Poisoning
Sodium nitrite
Sodium thiosulfate
Sulfur‐providing agent (SPA)
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Summary:The Diagnosis and Treatment of Acute Acrylonitrile Poisoning: A Clinical Study of 144 Cases: Yuqing Chen, et al. Division of Occupational Medicine, Jinshan Hospital of Shanghai Medical University—An analysis of clinical manifestations and emergency treatment of 144 cases of acute acrylonitrile (ACN) poisoning is reported in this article. It is suggested that the acute poisoning induced by inhalation of ACN at high concentrations for a short duration primarily impairs the central nervous system (CNS), and inhalation of ACN at medium concentrations but for a longer period leads to damage to the liver tissues besides the CNS. In severely poisoned victims, the cardiac muscles may be damaged and in the blood levels glutathione (GSH) is decreased. The rational administration of antidotes including the methemoglobin‐producing agent (MHbPA), and the sulfur‐providing agent (SPA) is the key to the success of emergency treatment and thus the early recovery of the victims.
ISSN:1348-9585
1341-9145
1348-9585
DOI:10.1539/joh.41.172