[Castor oil supply] Symptoms and treatment of castor oil poisoning

Castor oil is a triglyceride of fatty acids. Castor oil is found in castor beans In the seeds, the content is 35% to 57.%. “Castor oil can be obtained by squeezing or solvent extraction. It should be noted that castor oil is used as a laxative in medicine. Oral administration can cause nausea, vomiting, acute abdominal pain and severe Diarrhea. Mild irritation to skin and eyes.

Castor oil poisoning:

After castor bean poisoning, the incubation period is long, which can be 1 to 3 days. , most of them start to develop 3 to 24 hours after eating. The clinical manifestations of patients include throat irritation, burning sensation, nausea, vomiting, abdominal pain and symptoms of acute gastroenteritis. Castor bean skin debris can be seen in the stool. Severe cases may have blood in the stool, fever, Dehydration and acidosis, central nervous system symptoms include headache, drowsiness, coma, convulsions, etc. Patients with liver and kidney damage may develop jaundice, proteinuria, hematuria, anuria, etc. Coagulation and hemolysis may occur a few days after poisoning. Death may occur in About one week after poisoning, the main causes of death are respiratory depression, heart failure or acute renal failure.

Treatment:

1. Immediately induce vomiting and wash Stomach and catharsis, and if necessary, high-position enema to expel residual toxins in the body as soon as possible.

2. Rehydration and diuresis, and use hemoperfusion or plasma exchange to remove absorbed toxins from the body.

3. Short-term glucocorticoid pulse therapy can help reduce organ damage.

4. Protect the liver, protect the kidneys, and prevent heart failure. When renal failure occurs, hemodialysis or continuous renal replacement is performed Treatment; perform artificial liver treatment when liver function is severely abnormal; pre-assisted ventilation when respiratory failure occurs.

5. Regularly monitor hemoglobin and coagulation function, and supplement blood components and coagulation factors when necessary.

6. Take rice soup and milk orally to protect the gastric mucosa and keep warm.

PS: Pregnant women should not eat castor oil:

Castor oil is used as Induction meals may cause strong side effects. Taking castor oil and its products before delivery may cause strong uterine contractions during delivery, may cause symptoms such as massive bleeding, and may put the mother’s life in danger. The 2005 Chinese Pharmacopoeia has stipulated that castor oil Women should not take medicines. Contraindications: Menstrual period, pregnancy and patients with abdominal inflammation are contraindicated.