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Verätzung mit Flusssäure

Ein seltener chemischer Notfall

Hydrofluoric acid burns

A rare chemical emergency situation

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Zusammenfassung

Die Verletzung durch Flusssäure kann einen lebensbedrohlichen Notfall darstellen. Dabei kommt der häufig unterschätzten lokalen, z. T. verzögerten Tiefenwirkung durch hoch diffusible freie Fluoridionen und deren systemische Toxizität besondere Bedeutung zu. Als spezifisches Antidot kann Kalziumglukonatlösung eingesetzt werden, die sowohl topisch appliziert, ins Gewebe injiziert oder auch intraarteriell infundiert wird. Aufgrund der hohen Gefahr einer systemischen Toxizität, auch nach banal imponierenden Verletzungen, ist die Indikation zur intensivmedizinischen Überwachung (insbesondere Bestimmung der Kalziumkonzentration im Blut und Elektrokardiographie) und Therapie weit zu stellen.

Abstract

Burns caused by hydrofluoric acid can be life-threatening. Of special significance is the often underestimated local and sometimes delayed deep action of the highly diffusible free fluoride ions and the accompanying systemic toxicity. The specific antidote calcium gluconate can be topically applied, injected into tissue or infused intra-arterially. Because of the extreme danger of systemic toxicity even after seemingly trivial injuries, monitoring in the intensive care station, especially by measuring the calcium concentration in blood and electrocardiography, and therapy is recommended.

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Authors and Affiliations

  1. Klinik für Anaesthesiologie und operative Intensivmedizin, Charité—Universitätsmedizin Berlin, Campus Benjamin Franklin

    H. Richter, H.-J. Sachs, J. Oeltjenbruns & J. Weimann

  2. Klinik für Unfall- und Wiederherstellungschirurgie, Charité—Universitätsmedizin Berlin, Campus Benjamin Franklin

    S. Hollenberg

  3. Klinik für Anaesthesiologie und operative Intensivmedizin, Charité—Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12200, Berlin

    H. Richter

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  1. H. Richter
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  2. S. Hollenberg
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  3. H.-J. Sachs
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  4. J. Oeltjenbruns
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  5. J. Weimann
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Correspondence to H. Richter.

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Richter, H., Hollenberg, S., Sachs, HJ. et al. Verätzung mit Flusssäure. Anaesthesist 54, 123–126 (2005). https://doi.org/10.1007/s00101-004-0733-x

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  • DOI: https://doi.org/10.1007/s00101-004-0733-x

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