Almonds are divided into sweet almonds, bitter almonds, bitter almonds contain bitter amygdalin, the content of about 2% -3%. Bitter amygdalin has anti-atherosclerosis, anti-renal interstitial fibrosis, anti-pulmonary fibrosis, immunomodulation, anti-tumor, analgesic and anti-inflammatory effects, is the active ingredient of the traditional Chinese medicine bitter almond, often used as expectorant and cough suppressant, adjuvant anti-cancer drugs. Bitter amygdalin is also a toxic glycoside compounds, bitter amygdalin decomposition of hydrocyanic acid, hydrocyanic acid ions absorbed into the body quickly combined with cytochrome oxidase, blocking the reduction of iron ions, resulting in cytotoxic hypoxia, respiratory paralysis is the main cause of death from hydrocyanic acid poisoning. There are reports of cases of bitter almond poisoning in China. After consuming large quantities of bitter almonds, if there are symptoms such as bruising of the face and lips, respiratory distress or irregularity, wet and cold extremities, slowed heart rate, convulsions, confusion or even coma, it is hydrocyanic acid poisoning. Generally do not eat bitter almonds. If eaten, adults should not exceed three bitter almonds per day.

Bitter almond poisoning judgment and first aid:

Bitter almonds contain amygdalin, eaten raw, the release of highly toxic substances hydrocyanic acid, its toxicity than sweet almonds 25 to 30 times higher. It can quickly destroy the respiratory function of cells and paralyze the central nervous system. Eat raw bitter apricot 0.4 ~ 1g / kg body weight, can be poisoned and die. (a) Judgment of a history of eating bitter almonds, often found in the pockets or venues of the poisoned person's remaining bitter almonds more than 1 to several hours after eating the mouth bitter, headache, dizziness, salivation, nausea, vomiting, panic, weakness, the end of the limbs feeling sluggish, the heavy respiration is shallow and fast, confusion, pupil dilatation, face bruises, teeth, blood pressure drops, cold limbs, incontinence, staring, coma and death. .

(2) First aid

Mild: ① stimulate the throat with chopsticks or tongue depressor to induce vomiting as soon as possible. ② Oral green bean soup for detoxification.

Serious: ① cardiac arrest should immediately chest heart pressure. ② Immediate inhalation of isoamyl nitrite 0.2ml, every 5 to 16 minutes. ③ blood pressure drop with epinephrine subcutaneous injection 0.5 ~ 1mg, respiratory distress timely oxygen and artificial respiration. Medical education|network collect intramuscular injection of Nicosamide 0.375g. ④ Quickly sent to the hospital.