=Sulphur Dioxide= (SO₂) is a colourless, pungently smelling gas which,
acting in low concentration or for a short period, causes cough and
irritation of the mucous membrane of the respiratory passages and of the
eyes; acting for a longer period, it sets up inflammation of the mucous
membrane, bronchial catarrh, expectoration of blood, and inflammation of
the lungs.
As Ogata and Lehmann have proved by experiments—some of them made on
man—a proportion of 0·03-0·04 per thousand of sulphur dioxide in the air
has a serious effect on a person unaccustomed to it, while workmen used
to this gas can tolerate it easily.
As sulphur dioxide probably does not affect the blood, treatment by
oxygen inhalation is useless. Otherwise the treatment spoken of as
applying to acid poisonings in general holds good.
=Sulphuric Acid= (H₂SO₄). Concentrated sulphuric acid occasionally
splashes into the eye or wets the skin, causing severe irritation and
corrosion, unless the liquid is quickly washed off or neutralised. If the
action of the acid persists, the corrosive effect becomes deepseated and
leads to disfiguring scars.
=Nitrous Fumes, Nitric Acid.=—Nitric oxide (NO) oxidises in the air
with formation of red fumes composed of nitrogen trioxide (N₂O₃) and
nitrogen peroxide (NO₂). These oxides are contained in the gases evolved
from fuming nitric acid and where nitric acid acts upon metals, organic
substances, &c.
Industrial poisoning by nitrous fumes is dangerous; unfortunately it
frequently occurs and often runs a severe, even fatal, course; sometimes
numerous workers are poisoned simultaneously. The main reason why nitrous
fumes are so dangerous is because their effect, like that of most other
irritant gases, is not shown at once in symptoms of irritation, such
as cough, cramp of the glottis, &c., which would at least serve as a
warning to the affected person; on the contrary, generally no effect at
all is felt at first, especially if the fumes are not very concentrated.
Symptoms of irritation usually appear only after some hours’ stay in
the poisonous atmosphere. By this time a relatively large quantity of
the poisonous gas has been absorbed, and the remote effect on the blood
induced.
The first symptoms of irritation (cough, difficulty of breathing,
nausea, &c.) generally disappear when the affected person leaves the
charged atmosphere, and he then often passes several hours without
symptoms, relatively well. Later severe symptoms supervene—often rather
suddenly—difficulty of breathing, fits of suffocation, cyanosis, and
copious frothy blood-stained expectoration with symptoms of inflammation
of the bronchial tubes and lungs. These attacks may last a longer or
shorter time, and in severe cases can lead to death; slight cases end in
recovery, without any sequelæ.
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