Poisons, Their Effects and Detection: A Manual for the Use of Analytical Chemists and ExpertsBlyth, Alexander Wynter
Science
Poisons, Their Effects and Detection: A Manual for the Use of Analytical Chemists and Experts
Blyth, Alexander Wynter
Poisons
§ 98. =Action on Human Beings and Animal Life.=--The violence of the
action of caustic solutions of ammonia almost entirely depends on the
state of concentration.
The local action of the strong solution appears to be mainly the
extraction of water and the saponifying of fat, making a soluble soap.
On delicate tissues it has, therefore, a destructive action; but S.
Samuel[118] has shown that ammonia, when applied to the unbroken
epidermis, does not have the same intense action as potash or soda, nor
does it coagulate albumen. Blood, whether exposed to ammonia gas, or
mixed with solution of ammonia, becomes immediately dark-red; then,
later, through destruction of the blood corpuscles, very dark, even
black; lastly, a dirty brown-red. The oxygen is expelled, the hæmoglobin
destroyed, and the blood corpuscles dissolved.
[118] Virchow’s _Archiv f. path. Anat._, Bd. 51, Hft. 1 u. 2, S. 41,
&c., 1870.
The albumen of the blood is changed to alkali-albuminate, and the blood
itself will not coagulate. A more or less fluid condition of the blood
has always been noticed in the bodies of those poisoned by ammonia.
Blood exposed to ammonia, when viewed by the spectroscope, shows the
spectra of alkaline hæmatin, a weak absorption-band, in the
neighbourhood of D; but if the blood has been acted on for some time by
ammonia, then all absorption-bands vanish. These spectra, however, are
not peculiar to ammonia, the action of caustic potash or soda being
similar. The muscles are excited by ammonia, the functions of the nerves
are destroyed.
When a solution of strong ammonia is swallowed, there are two main
effects--(1) the action of the ammonia itself on the tissues it comes
into contact with, and (2) the effects of the vapour on the
air-passages. There are, therefore, immediate irritation, redness, and
swelling of the tongue and pharynx, a burning pain reaching from the
mouth to the stomach, with vomiting, and, it may be, nervous
symptoms. The saliva is notably increased. In a case reported by
Fonssagrives,[119] no less than 3 litres were expelled in the
twenty-four hours. Often the glands under the jaw and the lymphatics of
the neck are swollen.
[119] _L’Union Médicale_, 1857, No. 13, p. 49, No. 22, p. 90.
Doses of from 5 to 30 grammes of the strong solution of ammonia may kill
as quickly as prussic acid. In a case recorded by Christison,[120] death
occurred in four minutes from a large dose, doubtless partly by
suffocation. As sudden a result is also recorded by Plenk: a man, bitten
by a rabid dog, took a mouthful of spirits of ammonia, and died in four
minutes.
[120] Christison, 167.
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