The _post-mortem appearances_ are the following: The body may have a
healthy appearance. Usually there are stains about the mouth, fingers,
and wherever the cuticle has been reached by the acid. The inner surface
of the mouth, fauces, and œsophagus, is usually white and corroded,
or dark brown and shrivelled, the mucous coat being easily detached. The
epiglottis and glottis are usually swollen. The gullet resembles the
mouth in most respects. The outer surface of the stomach and intestines
is very vascular, that of the former being sometimes corroded and
occasionally perforated. The stomach is sometimes contracted, sometimes
distended with gas, and contains a thick, dark brown fluid; its inner
surface has a charred, blackened appearance, the mucous membrane between
the rugæ being of a scarlet hue. The pylorus is mostly contracted; while
the inner coat of the duodenum and small intestines presents a similar
appearance, in a less degree, to that of the stomach. When perforation
occurs it usually takes place posteriorly, and the edges of the rent are
softened. The escaped matters may have acted on the adjacent viscera.
According to Casper, after poisoning by sulphuric acid the bodies resist
putrefaction for some time, owing perhaps to the acid neutralizing the
ammonia of decomposition. It may be the same with the other mineral
acids.
_Treatment._—Bicarbonate of soda, or calcined magnesia, or the
carbonate of magnesia, should be immediately given, mixed in milk or any
mucilaginous fluid; the doses being continued at short intervals, until
it may be inferred that the acid is neutralized. In the absence of these
remedies substitutes may be found in chalk, whiting, soap and water, or
the plaster of the apartment beaten up with water. Oleaginous and
mucilaginous fluids, as olive oil, linseed tea, barley water, milk
gruel, &c., may be freely given, either alone, or as the vehicles of the
antidote. The success of this treatment will depend upon the promptitude
with which it is adopted.
The stomach pump should not be employed; the disorganized and softened
state of the gullet and stomach, rendering them excessively liable to
perforation.
Should the larynx be affected and the breathing impeded, tracheotomy
must be at once had recourse to.
After a sufficiency of the antidote has been given the use of
mucilaginous diluents must be continued for some time, and the
subsequent treatment will be that for gastro-enteritis. Great benefit
will be derived from the use of oily enemata.
The external parts which have been injured by the acid should be well
bathed with soap and water, and treated like burns.
CHAPTER VII.
THE CORROSIVE VEGETABLE ACIDS.
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