Which type of poisoning should not be treated with gastric lavage?

Aug 28, 2023 Source: Cainiu Health
Dr. Yang Shuwen
Introduction
In general, gastric lavage is contraindicated in cases of poisoning by concentrated sulfuric acid, benzene, aniline, cyanide, and strong alkalis. Additionally, gastric lavage should also be avoided in poisoning by concentrated hydrochloric acid or concentrated nitric acid. Patients are advised to seek prompt medical attention when experiencing discomfort and to receive standardized treatment under a physician's guidance, which can facilitate recovery. Concentrated sulfuric acid releases a large amount of heat when reacting with water.

In general, gastric lavage is contraindicated in cases of concentrated sulfuric acid poisoning, benzene poisoning, aniline poisoning, cyanide poisoning, and strong alkali poisoning. The specific reasons are as follows:

1. Concentrated Sulfuric Acid Poisoning

Concentrated sulfuric acid reacts with water to release a large amount of heat, which can damage the gastrointestinal mucosa. When diluted with water, concentrated sulfuric acid becomes dilute sulfuric acid, causing even greater harm to the gastrointestinal tract. In severe cases, this may lead to gastric perforation or massive upper gastrointestinal bleeding, potentially triggering shock and respiratory failure. Therefore, gastric lavage is strictly prohibited in cases of concentrated sulfuric acid poisoning.

2. Benzene Poisoning

Benzene is readily absorbed into fatty tissues and is irritant in nature. Performing gastric lavage may accelerate the absorption of benzene; therefore, it is not recommended.

3. Aniline Poisoning

Aniline is a strongly alkaline substance. Gastric lavage may exacerbate tissue damage at injury sites and accelerate kidney damage.

4. Cyanide Poisoning

Cyanide is rapidly converted into hydrocyanic acid in the body. Extensive absorption of hydrocyanic acid can cause severe metabolic acidosis. Gastric lavage may accelerate cyanide absorption, thereby worsening the condition.

5. Strong Alkali Poisoning

Strong alkalis react with gastric acid to produce substantial heat and gas. Gastric lavage may push the alkali deeper into the esophagus and stomach, leading to chemical burns and hemorrhage.

In addition, gastric lavage is also contraindicated in poisoning caused by concentrated hydrochloric acid, concentrated nitric acid, and similar substances. Patients experiencing any discomfort should seek prompt medical attention and receive standardized treatment under the guidance of a physician to facilitate recovery.

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