Tennebein M, Wiseman N, Yatscoff R W
Department of Pediatrics, University of Manitoba, Winnipeg, Canada.
Pediatr Emerg Care. 1991 Oct;7(5):286-8. doi: 10.1097/00006565-199110000-00006.
Ipecac and gastric lavage are questionable interventions for the overdose patient, and activated charcoal does not absorb iron. Gastrotomy and whole bowel irrigation have been described as unique interventions for this poisoning. We describe a patient who was treated with each of these. Because less than half of the iron was removed during surgery, and because the chelation requirement was modest, it is likely that whole bowel irrigation removed a significant amount of iron. We believe that this combined approach contributed to our patient's positive outcome.
吐根糖浆和洗胃对于过量服药患者而言是存在疑问的干预措施，且活性炭不能吸附铁。胃切开术和全肠灌洗已被描述为针对这种中毒情况的独特干预措施。我们描述了一位接受过上述每种治疗方法的患者。由于手术过程中仅清除了不到一半的铁，且螯合治疗的需求不大，所以全肠灌洗很可能清除了大量的铁。我们认为这种联合治疗方法促成了我们这位患者的良好预后。
