Greene Spencer, Harris Cindy, Singer Jonathan
Department of Emergency Medicine, Wright State University Boonshoft School of Medicine, Dayton, OH 45429, USA.
Pediatr Emerg Care. 2008 Mar;24(3):176-86; quiz 187-9. doi: 10.1097/PEC.0b013e318166a092.
Gastrointestinal decontamination has been a historically accepted modality in the emergency management of oral intoxicants. Theoretically, gastric and whole-bowel emptying procedures hinder absorption, remove toxic substances, prevent clinical deterioration, and hasten recovery. This article presents a current overview of gastrointestinal decontamination. It challenges the accepted precepts of gut decontamination and assesses the utility of syrup of ipecac-induced emesis, orogastric lavage, single-dose-activated charcoal, cathartics, and whole-bowel irrigation.
胃肠道去污一直是口服毒物急诊处理中历史上被认可的一种方式。从理论上讲，胃和全肠道排空程序可阻碍吸收、清除有毒物质、防止临床病情恶化并加速康复。本文对胃肠道去污进行了当前概述。它对肠道去污的公认原则提出了质疑，并评估了吐根糖浆催吐、经口胃灌洗、单剂量活性炭、泻药和全肠道灌洗的效用。
