专家:氢氟酸中毒具有隐蔽性,一旦接触需紧急处理|婷婷五月色综合
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氢氟酸中毒具有隐蔽性,一旦接触需紧急处理
本报讯 (记者赵思远 通讯员胡颖仪)近日,浙江省杭州市一市民外出散步时因误踩化学品氢氟酸,送医后被确诊氢氟酸中毒,其后出现心脏衰竭、呼吸停跳并最终离世的消息引发关注。氢氟酸是什么?为何会造成如此严重的伤害?广州市红十字会医院烧伤整形科学科带头人、主任医师李孝建进行了解答。
氢氟酸(HF)是氟化氢气体的水溶液,呈无色透明状,具有刺激性气味,易挥发,用途十分广泛。在工业领域,它是制造氟化物、氟树脂、氟橡胶等关键化工产品的核心原料,常用于半导体芯片、液晶显示屏的清洗与蚀刻,不锈钢、铝制品的表面处理,玻璃加工行业等。
氢氟酸的渗透性远超普通酸类,即便是浓度极低的溶液,也能迅速穿透皮肤角质层,深入皮下组织,甚至侵入骨骼和血液。低浓度氢氟酸接触皮肤后,可能在数小时甚至12小时后才出现明显症状,初期仅表现为红斑、苍白,很容易被忽视。
氟离子具有毒性,李孝建提醒,氢氟酸解离出的氟离子会与体内的钙离子、镁离子结合,形成不溶性的氟化物沉淀,导致血钙、血镁浓度急剧下降,直接引发心脏功能紊乱,严重时可导致心律失常、心脏衰竭。同时,氟离子还会破坏细胞的代谢功能,造成组织坏死。
李孝建表示,一旦发生氢氟酸接触,无论浓度高低,患者应立即用清水对接触部位持续冲洗至少15~30分钟。若佩戴手套,应迅速脱下并连同衣物一起丢弃,避免二次接触。若眼部接触,需撑开眼睑,用生理盐水或清水持续冲洗15分钟以上。紧急处理后,患者需立即前往有救治能力的医院就诊,并务必告知医生接触的是氢氟酸以及大致浓度和接触时间。医生会根据情况采取中和治疗、清创处理等专业救治手段,最大程度降低伤害。
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