Hanhan Usama A
Division of Pediatrics, Department of Critical Care Medicine, University Community Hospital, 3100 East Flecher Ave., Tampa, FL 33613, USA.
Pediatr Clin North Am. 2008 Jun;55(3):669-86, xi. doi: 10.1016/j.pcl.2008.02.010.
Acutely poisoned children remain a common problem facing pediatricians working in acute care medicine in the United States and worldwide. The management of such children continues to be challenging, and their care has evolved throughout the years. The concept of gastric decontamination in acute poisoning has significantly changed over the past 10 years, and many of the previously used techniques have been abandoned or fallen out of favor for lack of evidence to their benefit or unacceptable serious risks and side effects. Supportive care continues to be the cornerstone in managing most poisoned children. Only a few patients benefit from antidotes or specific interventions.
在美国及全球范围内，急性中毒儿童仍是从事急症医学的儿科医生面临的常见问题。这类儿童的治疗仍然具有挑战性，并且多年来其护理方式不断演变。在过去10年里，急性中毒时洗胃去污的概念发生了显著变化，许多以前使用的技术因缺乏获益证据或存在不可接受的严重风险及副作用而被摒弃或不再受青睐。支持性护理仍是治疗大多数中毒儿童的基石。只有少数患者能从解毒剂或特定干预措施中获益。
