In case of poisoning with acetic acid, the stomach washing is produced. Poisoning acetic acid consequences

Acetic acid, essence and table, apple or wine vinegar are widely used in everyday life and production. At home, the universal remedy is used in cooking during marination, preservation, baking, as refueling for salads or when making mayonnaise and sauces. Also acetic acid is often a component of home cleaning mixtures, it is used in cosmetology and alternative medicine. In industry, vinegar is used in the production of deodorants and detergents.

But does vinegar harmful? When used to appoint and comply with the safety rules of working with a substance, a table bite, like an essence or acid, is absolutely harmless to the human body and brings only benefits. But in medical practice, poisoning or burns are often found by substance.

Poisoning with vinegar occurs by negligence or deliberately. The severity of the consequences largely depends on the concentration of the substance, but also on the amount of drunk. You can even choose with an ordinary table vinegar 6-9% concentration, which is, to talk about more concentrated acid (100%) and essences (70-80%).

Acetic acid is made of biting fruits (roughly speaking, it is a proceed and purified wine or juice), the remaining substances are all the same acid, only diluted with water to the necessary concentration.

Penetration paths and mortality

As a rule, acetic acid poisoning occurs in the food, through the skin or by inhalation of poisonous vapors.

Internal burns are characteristic if you drink vinegar or inhale a couple for a long time. Poisoning of vinegar pairs are detrimental for the respiratory system, the use of a substance in food affects the esophagus and digestion as a whole. The damage to the internal organs of the gastrointestinal tract or the breath of the average severity is comparable to burns 30% of the body surface.

The most rare cause of serious poisoning is inhalation. In order to "imagine" vinegar to the state of poisoning, highly concentrated pairs of acetic acid are required, which is relatively rarely obtained at home. In addition, the bite has a property quickly disperse.

The main risk group of poisoning of this kind: Drinking person, in a state of alcoholic intoxication, taking acetic acid for vodka, suicide, girls wishing to lose weight in such a dangerous way, and children.

In the case of a suicide attempt, disability, torment and very difficult consequences for the rest of their lives are provided with a 99% probability, but death is possible only in cases where medical assistance will not be provided on time.

The outer burn with acetic acid is very easy to obtain if there is even a minor amount of substance in a slight concentration. Overdue vinegar may also cause skin damage. Such a chemical burn is a common phenomenon. A vinegar may fall on the skin when non-compliance with safety rules or banal negligence. The defeat of this kind, in contrast to internal use, occurs most often inadvertently. Cases of intentional poisoning by damage to the skin are very few.

Can a person die in poisoning with acetic acid? With a strong damage to internal organs and late medical care, lethal outcomes may occur.

Death occurs after the adoption of about 50 ml of acetic essence or 200ml table vinegar. It is so much that is a fatal dose, but the data may vary depending on the individual characteristics of the body of a particular person.

Impact of vinegar on the body

In alternative medicine, it is believed that the table vinegar (apple) in small doses is useful for human health, and many people really use it for "rehabilitation". However, any excess of the dosage sharply turns all the advantages of the substance into serious disadvantages, and acetic acid extremely negatively affects the body. The substance is highly harmful and toxicity.

What will happen if the child drank vinegar? The symptoms of vinegar poisoning depend on the severity of the lesion and the amount of drunk.

It affects the clinical manifestation of acetic acid concentration. For the poisoning of light severity, the focal damage to the oral cavity, the burn of the esophageal vinegar and the minimum damage in the internal organs.

At a moderately, the poisoning of acetic essence is manifested by the following symptoms:

• more pronounced oral and esophagus cavity;
• hitting the stomach damage zone;
• blood thickening;
• sweat smells with vinegar (may be a symptom and other hazardous states);
• voting weight;
• pink urine color.

What will happen if a person drank a lot of vinegar? Signs of heavy burn internal organs appear after a short period of time after directly poisoning.

The characters of nausea and vomiting with blood impurities, intensive pain in the chest area and in the upper part of the abdomen, dark red (up to black) urine. The poisoned person is experiencing a serious pain shock. A severe poisoning is a very dangerous process that may cause serious complications, for example, renal failure.

If the vinegar hit the skin, a typical chemical burn appears, which may also be light, moderate or severe. Burning from vinegar is most often localized on face, hands or legs.

First aid and treatment

What if the child swallowed a bottle with vinegar?

First of all, you need to call an ambulance, be sure to inform the cause of the call. First aid is effective only within two hours from the moment of poisoning, then neutralize the vinegar becomes very hard, the edema of internal organs occurs.

What can be done to assist before the arrival of physicians if the child drank vinegar?

Assistance in poisoning to the arrival of doctors is simple, but can somewhat improved the patient's condition and will avoid serious consequences. To do this, you should carefully rinse your mouth several times. Neutralize the vinegar will help a solution of almagel or burnt magnesia. You can give the victim a little vegetable oil, which will partially soften the inflammation.

Is it possible to cause vomiting in a child to neutralize acetic acid?

Washing in a common way "Two fingers in the mouth" is unacceptable. You can use only the probe. If the arrival of the physicians is expected not soon, the washing should be made independently. Printed in the pharmacy you need a probe, a heating, ten packs of Almagel. The procedure is very painful, so strong analgesics will be needed, which are better intramuscularly or intravenously. You can not rinse the stomach if the poisoning of vinegar happened more than two hours ago.

Treatment is mandatory in the hospital. To transport the patient, a solution of sodium bicarbonate is injected to exclude renal failure, which is the most common cause of mortality in acetic acid poisoning.

Poisoning with acetic acid pairs (for example, if the woman "hung out" with a substance during harvesting) also requires immediate medical intervention, but minor skin burns can be treated at home.

First aid is that the affected area should be washed under running water temperature, make a compress using antiseptic agents. You can not lubricate the damaged area with oil, iodine, alcohol or green, as well as open the resulting blisters.

Regenerating diet with vinegar poisoning

Treatment with vinegar poisoning involves a special diet, which avoids additional damage to irritated mucous membranes. If the patient refuses to take food or does not have a swallowing reflex, the power is entered through the tube.

The diet should assume the use of a large number of soups (without seasonings), oatmeal, buckwheat or rice porridge on water, rubbed meat, light steam omelettes. Useful there are many fermented dairy products. Completely excluded acidic fruits, berries, smoking, alcoholic and carbonated drinks, coffee and cocoa.

Prevention of poisoning

The main preventive measure is extreme caution when using acetic acid at home and storage in places inaccessible to children. Acetic acid, table vinegar or essence should be in tightly closed vessels with a sticker or inscription "poison".

If the house smells like a vinegar after cleaning, you need to open the windows - the smell will quickly destroy. It is impossible to allow substances to enter the skin, you should always work with aggressive cleaning agents in rubber gloves.

For many millennia, vinegar is known to people. Ancient winemakers were first noticed that in the open vessel, the drink produced by them becomes an acidic liquid with a rather specific aroma. Jews at that time did not arise at all that would be if you drink vinegar. After all, they used him as a simple drink. But, most likely, this vinegar was nothing else as the proced red wine. In ancient Egypt, it was used as a solvent and a medical antiseptic. It was used for rubbing and included in many ointments, as well as used to dissolve medicinal powders. Now his medical properties are not as widespread, and the vinegar has firmly occupied its place on the kitchen shelves.

Vinegar in the house - danger

Usually, many mistresses are kept vinegar next to spices and other additives that give the taste of food. And, unfortunately, sometimes forget what danger he carries. And if children live in the house, then a bottle with this acid needs to be hiding in the most inaccessible place. You can never forget about what will happen if you drink vinegar. A common 70% essence may cause irreparable harm to the human body, right up to death. That is why it is necessary after using vinegar not to forget to remove it away from everyone.

Poisoning 70% vinegar

The vinegar is designed so well that it dissolves lipids well, and therefore quickly falls out of the gastrointestinal tract in the vessels, and then in the blood cells, forming acid ions in it. The pathogenesis of poisoning with this acid lies in several other links, and in the end leads to a change in blood rheology and liver damage.

When a person drank vinegar, he was on his face, lips and chemical burns are formed in his mouth, and the smell peculiar to this substance appears from the mouth. The victim starts strong abdominal pain, esophagus. If you drink 70% vinegar, it is possible to swallowing. And if the pairs of acid fall into the respiratory tract, a person develops respiratory failure. And it can be different. In many patients who drank vinegar, hepatopathy and toxic neuropathy begin to develop. The relationship between the degree of hemolysis and the severity of vinegar poisoning is determined, it is determined by the concentration in the blood plasma of free hemoglobin. With a light degree of hemolysis in the blood, it is up to 5 g / l of free hemoglobin, with an average - from 5 to 10 g / l. Heavy degree occurs when the result is more than 10 g / l of hemoglobin in plasma.

The degree of poisoning vinegar

With a mild, there are such symptoms like burns of pharynx, mouth, esophagus, a simple degree of hemolysis, small nephropathy and catarrhically fibrous inflammation. At the same time there is no hepatopathy.

The average degree of poisoning brings with itself the rises of the oral cavity, esophagus, pharynx and stomach, exotocious shock, inflammation of catarrhal-fibrous or catarrhal-serous, hemolysis of the average degree, toxic nephropathy of moderate gravity and light hepatopathy.

With severe poisoning, besides all of the above symptoms, there are also burns of breathing paths, a small intestine, hazardous hepatopathy, which can carry with them the development of renal failure.

Stages of burning disease poisoning

What stages are waiting for the victim? The first stage is an exotoxic shock that lasts up to 36 hours. Next goes toxemia, in turn, it develops on 2-3 days after poisoning. The stage of infectious complications occurs on the 4th day and lasts up to 14 days. At the end of the third week, the stage of burning asthenia and stenosis occurs. Final stage - recovery.

9% poisoning with vinegar

If you drink vinegar 9%, the poisoning will be not so dangerous for the life and health of a person, since it dissolves very quickly in water. And it is possible to protect the victim from the negative influence of the acid that it is possible to make it drink a large amount of water or rinse the stomach. The poisoning of 9% vinegar burns of pharynx, mouth, stomach, esophagus is manifested. Accompanied by pain in the abdomen, throat and stomach.

First prefigure

When an adult or a child drank vinegar, what to do first? Of course, to call the "ambulance" or, if there is an opportunity, to take it to the hospital independently. Each minute when poisoning the road, and you need to act quickly and without panic. Then rinse many times the affected mouth with water. In no case can not rinse the stomach with soda solution and cause vomiting. In some cases, it is possible to give a few sips of vegetable oil or a raw egg, burned magnesia - 1 tbsp. l. on a glass of water. On the neck and stomach put a cold compress. Arrived doctors before the patient's hospitalization should make the stomach, before that, giving him painkillers. And the probe must necessarily be lubricated by Vaseline.

Treatment in hospital

With the help of novocaine, as well as narcotic drugs are blocked by pain syndrome and conduct neuroleptinalgesia. If the patient was taken to the hospital office in a short time after poisoning, and in its blood there are still swelling erythrocytes, treatment of hemolysis is prescribed by applying glucose solution with insulin intravenously.

If, after poisoning, a person has preserved an excretory renal function in order to avoid the formation of salty hematine, 4% soda solution is intravenously introduced. In order for the pH of the patient's urine, it is necessary to introduce more than 1.5 liters of this solution. Then 48 hours are observed that the urine reaction is neutral.

When restoring, making sure that the esophagus is escalating after the burn, doctors may decide to burn or further treatment with surgically. Good treatment for poisoning is long, complex, and its volume directly depends on the symptoms and state of the victim.

But it must be remembered that these all procedures and many others are not the worst. After all, if you drink vinegar, the consequences can be sufficiently heavy, up to the death of a person. On time the medical assistance and the correct actions of those who were near the victims increase the chances of survival and recovery. The poisoning is very dangerous and brings with them a threat even at the stage of treatment. And the one who decided to drink vinegar to deprive himself of life will acquire torment.

Security measures

If there are children in the house, parents must first think about their safety. After all, the kids are very inquisitive and restless, there are no verbal prohibitions for them, and the older children need protection. Modern teenagers are prone to excessive emotions that often come out from under control. And some of them make stupid and rapid acts. Observing elementary safety measures in everyday life, you can protect your loved ones. To do this, do not leave children at home alone unattended adults. And all the dangerous household fluids, including vinegar, hide in mounted cabinets on the final shelf. And you need to follow the fact that the cover of the bottle with this liquid was very tightly closed. It is best if the bottle is with a special lid equipped with protection against children. You can still spend a tour of the house with children with the explanation of all dangerous things and tell about what can happen to them. Observe all these precautions - and your loved ones will never learn about what will happen if you drink vinegar.

In the kitchen there is always a vinegar, more precisely, acetic acid is 6% - 9% solution. This is a dangerous substance. Not all people know that vinegar poisoning is really possible. Its influence on the body is different - both positive and negative. It all depends on the concentration and quantity. It is randomly difficult for them, but if desired, he can become an instrument for killing, torture, suicide.

Fatal outcome

Vinegar has a pronounced sharp smell, specific taste. When cooking with it, it is better not to overdo it - no one can eat dish. It will have a terrible taste. The substance burns, destroys the microflora of the oral cavity instantly, if it was added much. A man with a weakened dental enamel will immediately feel a sharp pain.

Acetic acid is used by pharmacists for making medicines, in industry. Is it possible to celebrate a large concentration? Sometimes there is an essence on the shelves of shops - 80% solution. An attacker nevertheless buy it optional. If a person breaks the usual vinegar in an amount of 200 - 300 ml approximately, that is, a glass, a fatal outcome will come. Acetic essence must be less - 30-50 ml is sufficient. Harm from apple vinegar will be the same as from the ordinary table.

Children in the kitchen

The victim of vinegar sometimes becomes children, because they can try it out of interest, on the dispute, for the joke. They do not scare them with a sharp smell. It smells like this liquid nice if evaluating the aroma at a distance. Adult warnings are unlikely to force to obey. Explain the child sometimes anything is useless. It is better to show how to use a vinegar to use, ask to help with cooking, show the amazing vinegar abilities to make fabrics soft, output stains, lighten.

It is necessary to describe in detail the child in what is the danger. But this should be done on an understandable, accessible language. In the hands of giving vinegar, nevertheless, it is not worth it. To dip a finger, pour it on yourself, pour your pet - all this can come to the baby, because it was considered adults. In fact, it is not a responsibility for him. Not knowing what to do, he most likely will start indulging. Children do not control their behavior and often shy this. Violation of the prohibition, the actions "called", "specifically", get rid of the unpleasant feeling of embarrassment. Vinegar is worth hiding, stored in an inaccessible place.

It is necessary to remember adults that the dog, for example, may well be interested in a plastic bottle. Poisoning with acetic acid probably. A sharp smell, if a bottle is closed tightly, the animal will easily ignore, after all trusts the owners, wants to play. Optimistically configured dog, a puppy can spray a bottle, get a strong burn. The kitchen is the place where it is necessary to take care of safety and precautions.

Signs of poisoning of acetic acid

A sign of what ancient poisoning of acetic essence or vinegar is burning. This is the first symptom, but it is difficult to understand what happened. Pain sensations will be localized at the place of lesion - in the field of nasopharynx, esophagus. If the vinegar lodge such organs of the digestive system, such as the valve, which opens the entrance to the stomach, intestines, pain will be weakly tangible, localization is an epigastric area. Vomiting with blood impurities is one of the symptoms. Abundant salivation, violation of the swallowing reflex - the correct sign of the lesion of the mucous membranes. In those situations where acid damaged the respiratory organs, there are signs of asphyxia to varying degrees, a disturbing reflex becomes noticeable. The first consequences of the burn are shock states. Pain shock, hypovolemic, hemorrhagic among them.

If vinegar poisoning occurred a few days ago, the symptoms were practically disappeared, no special measures were taken, could it be that the body healed himself? The damage to the internal organs by chemicals is heavy injury. The result of vinegar influence is coagulative necrosis. This is a protective mechanism that nevertheless fails, does not allow the desired effect. There is a layer of stuffing on the place of burns, which is designed to protect the body from more serious injuries with acid. But this layer, of course, is not elastic and cannot protect against mechanical damage. To drink, there is a person not in a position, and if trying to do it, can aggravate the situation.

Possible complications

In necrotic processes, a large number of toxins are distinguished - cells die with an incredible speed. The nervous system loses touch with these sections, the sensitivity disappears, retreats pain, but it is a deceptive state. New bleeding becomes often a logical continuation when trying to independently normalize activity. The stratum layer loses hermeticity, food is delayed in places of roughness, irregularities, impudations appear, toxins are spread throughout the body, penetrating into the blood through these damage. Well-being worsen.

Even if the healing process passes normally, damage is small or the mechanism of self-describing is activated by 100%, the mucous membranes usually do not completely overgrow until the moment when the scaps are peeled. In some places ulcers appear. New bleeding is depleted by a person. Instead of normal mucous membranes, a scar tissue can appear on such sections. It is undesirable. Scars limit the natural motility. At the first signs of the burn, it is necessary to seek help from specialists. There are no mechanisms for effective self-defense in the body. The body needs help. Renal failure, liver, violations in the work of the cardiovascular system - you can face with these problems after burning vinegar.

Acetic acid during contact can penetrate into deeper layers of the internal organs very quickly. It is absorbed, like any other substance, falls into the blood, spreads throughout the body. In this case, the burn disease develops.

Couple vinegar

Preparing food, washing, working around cleaning, you can get a strong chemical burn - not a liquid poisoning, but vinegar with vinegar. In this case, breathing organs are burned. Eyes will warm very much, cough appears, sneezing, runny nose. Such burns are easy to get. The consequences are no less serious than in the situation of direct contact with liquid. Treatment will be long. The concentration of the substance with which it has to continuously work in everyday life should be minimal. If used for household needs essence, before dilute it, you should wear a respiratory mask. In this case, it will be possible to avoid poisoning. Poisoning vinegar couples is possible when preserving products. Measures should be taken to eliminate such a probability, to work with a diluted solution, a small amount, in a well-ventilated kitchen, not brings the substance too close to the face.

Help the victim

If there is a chance, suspicions appeared that the child, an animal or an adult man received a cinema with acetic acid, you need to know how to help. This is a natural desire, but, alas, the first aid is minimized, the possibilities of others are very limited. It is necessary to rinse the mucous membranes, enter the poisoning anesthetic. First aid comes down to this. Only so you can avoid painful shock, further penetration of acid. But the surrounding usually do these procedures cannot be performed: special tools and potent drugs are needed, the right dose. The stomach washing is carried out with the introduction of a probe, a lubricated vaseline, a large amount of water. If you give the injured water to drink, and then snatch, you can aggravate the situation. It is better to call doctors. Prior to their arrival, wash the nasopherler, eyes, lips. Only outdoor sections, with obvious signs of lesions really clean without additional damage. In that situation when it comes to life and death, all methods are good. It is necessary to rinse the stomach - do not give acid to get into the blood in large quantities. First aid can save life.

Acetic acid when exposed to a person's body has Local migration and general toxic effect on blood (destruction of red blood cells - hemolysis), kidneys, liver.

Table vinegar (3-6-9%) is often used in everyday life for cooking, with pickling, baking, desiccation of the kettles and others. Sturdy acetic acid (70-80%), or essence, is used for the same purpose Diluting it with water until the desired concentration is obtained.

Acetic acid is a colorless liquid with a characteristic sharp odor and sour taste. Gigroscopic, unlimited soluble in water. Mixed with many solvents. Random receiving vinegar is very difficult due to the strong smell of this acid and an instant irritating effect on the respiratory tract. Nevertheless, such cases are encountered with a sad consistency, and most often in persons suffering from alcoholism. The second version of the use of acetic essence is the suicidal intentions of a person when poisoning by vinegar occurs consciously.

The toxic properties of acetic acid do not depend on the method it was obtained. Action on alive fabrics is due to the concentration of the acid solution. The greatest danger in poisoning is an acid with a fortress of 30% or more. The deadly dose is approximately 20 ml.

Symptoms of poisoning with acetic acid (essence)

In the initial period of the flow of a sturdy acid inside, the phenomena of toxic burning shock develop. During the inspection, signs of surface chemical burn (coagulative necrosis) in the field of face (red border lips, the nasolabial triangle is in the form of brown stripes) and the oral cavity, local swelling of the mucous membrane. The victims are excited, they note the abundant pain in the oral cavity, in the course of the esophagus and the stomach. There is a repeated vomiting with an admixture of blood, esophageal and gastric bleeding. Significant savory (sinking), mechanical asphyxia (choking) due to the pain of the act of fatigue and the edema of Lastani.

In case of acetic essence poisoning, dark red (hemolysis) acquires, signs of hemoglobinorium nephrosis (Anuria, Azotemia) are expressed. By the end of the first day in heavy cases, the jaundice of the skin appears as a result of hemolysis. The liver is enlarged and painful. Phenomena of reactive pancreatitis, peritonitis.

Frequent complications are purulent tracheobronchitis, pneumonia, liver toxic dystrophy, acute renumber failure. Since the third week, signs of scar esophagus or more often - the weekend of the stomach appear. Permanently notedloss of body weight, disruption of protein and water-electrolyte balance.

Mortality in the development of the burn shock is quite high. It depends on a number of factors, such as the volume of drilled acid, the time of treatment for medical care, the adequacy of therapy, etc. In this connection, the death data in the poisoning of acetic acid, taken from different sources, differ greatly and can be from 12-18 to 70%.

First aid in poisoning with acetic acid (essence)

Vomiting does not cause, I do not give soda inside! Swallow ice. As soon as possible consult a doctor. In cases where the medical assist is not available, we need to receive cold water in large quantities.

The first medical care for poisoning acetic, as well as any other acid consists in washing the stomach through the probe, lubricated with vegetable oil, despite the presence in the gastric content of blood. Before washing the stomach is subcutaneously introduced narcotic analgesics, atropine 0.1% - 0.5-1 ml. The abundant drink is shown, hunger, peace. Sodium bicarbonate is 4% to 1500 ml in / in the appearance of dark urine and the development of metabolic acidosis.

With a significant blood loss - repeated blood transfusions. Prescribed antibiotic therapy, hormone therapy, bloodstand means. To local treatment, the inside is used by the medicine (the emulsion of sunflower oil is 10% -200 ml + anesthesine 2 ml + leftomycetin 2 ml) every hour of 20 ml.
Treatment of burning shock, toxic nephropathy - infusion therapy (stabilization of hemodynamics, kSH, water-electrolyte balance), maintaining vital functions.

In the development of the critical stenosis, the larynx performs a coneepotomy or tracheostomy.

Acetic acid is a sharply smelling colorless transparent liquid. This is a strong acid that, if in the body, can cause irreversible consequences and even death.

In everyday life, acetic acid is used as a solution. 6-9% Acid solution with all sign as a table vinegar, 80% is a solution as acetic essence. More concentrated solutions are used in industrial conditions.

Toxic action of acetic acid

The impact of acid on the human body is determined by two components:

• local damaging effect (associated with direct acid contact with tissues),
• general (resorbative) is the defeat of various organs and systems as a result of suction of acid.

At the most dangerous and at the same time, the most frequent poisoning with acetic acid is associated with the reception of it inside. Poisoning of acetic acid pairs occurs infrequently, and takes place in emergency situations in production or in laboratory conditions. The damaging effect of acid inhalation may be accompanied by a severe defeat of respiratory organs, but it extremely rarely ends with death. Domestic cases of inhalation poisoning with vinegar or acetic essence are usually limited to a light or moderate lesion of the upper respiratory tract (nasopharynx, larynx, trachea).

Clinical pattern of poisoning of acetic acid

Couples of acids in the air cause eye irritation, which is manifested by a torment, burning, tearing. Acetic acid when contacting the mucous membranes of the respiratory tract causes a chemical burn, which is accompanied by inflammatory phenomena. When inhaling the vapors of concentrated acid, there is a sharp pain in the throat and behind the sternum, shortness of breath. As a result of the edema of the larynx, a suffocation and stridorous breathing may appear. The defeat of voice ligaments is manifested by complete Afonia or, in light cases, voices. It worries the painful and painful dry cough, which is then replaced by productive. The sputum has a mucous-purulent nature. With severe damage, the toxic edema of the lungs is developing. In this case, the sputum becomes abundant, foaming with blood admixture. A shortness of breath is growing, the skin acquires a cyanotic or grayish tint, tachycardia is enhanced, hell decreases. With auscultation of the lungs, a mass of different-caliber wet and dry wheezes is determined.

In the future, severe inflammatory processes in the trachea, bronchi, lungs are developing.

Less concentrated acetic acid solutions are accompanied by a slight flow. May be disturbed sneezing, sore throat, unproductive cough, witness voices.

The resorbative effect of an acid with inhalation poisoning is not expressed and appears with long inhalation of a strongly concentrated acid, which manifests itself in the form of metabolic acidosis.

Assistance in poisoning with acetic acid

The first medical care is to restore the respiratory tract. Mechanical asphyxia caused by swelling of the larynx may require tracheostomy, in easier cases, anti-ethnic and anti-inflammatory drugs are prescribed, intubation is performed with their ineffectiveness.

Further treatment includes painkillers, antihistamines, glucocorticosteroids, antispasmodics and cholinoblocators. Purulent complications are treated using antibacterial drugs. Conducted symptomatic treatment.