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家庭中的中毒治疗。美国儿科学会伤害、暴力与中毒预防委员会

Poison treatment in the home. American Academy of Pediatrics Committee on Injury, Violence, and Poison Prevention.

出版信息

Pediatrics. 2003 Nov;112(5):1182-5. doi: 10.1542/peds.112.5.1182.

DOI:10.1542/peds.112.5.1182
PMID:14595067
Abstract

The ingestion of a potentially poisonous substance by a young child is a common event, with the American Association of Poison Control Centers reporting approximately 1.2 million such events in the United States in 2001. The American Academy of Pediatrics (AAP) has long concerned itself with this issue and has made poison prevention an integral component of its injury prevention initiatives. A key AAP recommendation has been to keep a 1-oz bottle of syrup of ipecac in the home to be used only on the advice of a physician or poison control center. Recently, there has been interest regarding activated charcoal in the home as a poison treatment strategy. After reviewing the evidence, the AAP believes that ipecac should no longer be used routinely as a home treatment strategy, that existing ipecac in the home should be disposed of safely, and that it is premature to recommend the administration of activated charcoal in the home. The first action for a caregiver of a child who may have ingested a toxic substance is to consult with the local poison control center.

摘要

幼儿摄入潜在有毒物质是常见事件,美国毒物控制中心协会报告称,2001年美国发生了约120万起此类事件。美国儿科学会(AAP)长期关注这一问题,并将预防中毒作为其伤害预防举措的一个重要组成部分。AAP的一项关键建议是在家里备有一瓶1盎司的吐根糖浆,仅在医生或毒物控制中心的建议下使用。最近,人们对在家中使用活性炭作为中毒治疗策略产生了兴趣。在审查证据后,AAP认为吐根糖浆不应再常规用作家庭治疗策略,家中现有的吐根糖浆应安全处理,并且现在推荐在家中使用活性炭还为时过早。对于可能摄入有毒物质的儿童,护理人员的首要行动是咨询当地毒物控制中心。

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Poison treatment in the home. American Academy of Pediatrics Committee on Injury, Violence, and Poison Prevention.家庭中的中毒治疗。美国儿科学会伤害、暴力与中毒预防委员会
Pediatrics. 2003 Nov;112(5):1182-5. doi: 10.1542/peds.112.5.1182.
2
AAP releases policy statement on poison treatment in the home.美国儿科学会发布关于家庭中毒治疗的政策声明。
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Home syrup of ipecac use does not reduce emergency department use or improve outcome.在家使用吐根糖浆并不能减少急诊就诊次数或改善治疗结果。
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Position statement: ipecac syrup. American Academy of Clinical Toxicology; European Association of Poisons Centres and Clinical Toxicologists.立场声明:吐根糖浆。美国临床毒理学学会;欧洲毒物中心和临床毒理学家协会。
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Home use of syrup of ipecac is associated with a reduction in pediatric emergency department visits.在家中使用吐根糖浆与儿科急诊就诊人数减少有关。
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Guideline on the use of ipecac syrup in the out-of-hospital management of ingested poisons.吐根糖浆在院外摄入毒物处理中的使用指南。
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Oral poisonings: guidelines for initial evaluation and treatment.口服中毒:初始评估与治疗指南
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Effects on a Poison Center's (PC) triage and follow-up after implementing the no Ipecac use policy.实施不使用吐根糖浆政策后对中毒控制中心(PC)分诊及随访的影响。
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Pediatr Emerg Care. 1991 Jun;7(3):141-8. doi: 10.1097/00006565-199106000-00003.

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