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儿童对扑热息痛的治疗失误。

Therapeutic misadventure with paracetamol in children.

机构信息

Sundaram Medical Foundation, Dr. Rangarajan Memorial Hospital, Shanthi Colony, IV Avenue Annanagar, Chennai 600 040, India.

出版信息

Indian J Pharmacol. 2010 Dec;42(6):412-5. doi: 10.4103/0253-7613.71894.

DOI:10.4103/0253-7613.71894
PMID:21189918
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2991705/
Abstract

Paracetamol (acetaminophen), though considered a safe, "over the counter" analgesic and antipyretic, can cause liver injury with overdose. Therapeutic misadventure is a unique problem where the existing nomogram used for acute poisoning is not applicable. In this context, early initiation of N-acetylcysteine even before a biochemical evidence of liver injury may be beneficial. A series of 6 children with this type of paracetamol overdose are presented here to increase the awareness and understanding of this problem since no such data is available from India.

摘要

对乙酰氨基酚(扑热息痛),尽管被认为是一种安全的“非处方”镇痛药和解热药,但过量使用也会导致肝损伤。治疗失误是一个独特的问题,现有的用于急性中毒的剂量表在此情况下并不适用。在这种情况下,即使在生化证据显示肝损伤之前,早期开始使用 N-乙酰半胱氨酸可能是有益的。本文介绍了一组 6 例此类扑热息痛过量的儿童病例,旨在提高对这一问题的认识和理解,因为印度尚无此类数据。

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Recent Advances in Pediatric Use of Oral Paracetamol in Fever and Pain Management.儿科口服扑热息痛在发热和疼痛管理中的最新进展。
Pain Ther. 2015 Dec;4(2):149-68. doi: 10.1007/s40122-015-0040-z. Epub 2015 Oct 30.
4
Authors' reply.
Indian J Pharmacol. 2011 May;43(3):359.
5
Are drugs prescribed rationally and according to standard guidelines in India?在印度,药物的开具是否合理且符合标准指南?
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本文引用的文献

1
Guidelines for the management of paracetamol poisoning in Australia and New Zealand--explanation and elaboration. A consensus statement from clinical toxicologists consulting to the Australasian poisons information centres.澳大利亚和新西兰对乙酰氨基酚中毒管理指南——解释与详述。澳大利亚毒物信息中心临床毒理学家的共识声明。
Med J Aust. 2008 Mar 3;188(5):296-301. doi: 10.5694/j.1326-5377.2008.tb01625.x.
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Paracetamol induced hepatotoxicity.对乙酰氨基酚诱导的肝毒性。
Arch Dis Child. 2006 Jul;91(7):598-603. doi: 10.1136/adc.2005.076836. Epub 2006 Mar 17.
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Prospective evaluation of repeated supratherapeutic acetaminophen (paracetamol) ingestion.对反复超治疗剂量摄入对乙酰氨基酚(扑热息痛)的前瞻性评估。
Ann Emerg Med. 2004 Oct;44(4):393-8. doi: 10.1016/j.annemergmed.2004.05.005.
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Pediatric acetaminophen overdose: risk factors associated with hepatocellular injury.小儿对乙酰氨基酚过量:与肝细胞损伤相关的危险因素
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The temporal profile of increased transaminase levels in patients with acetaminophen-induced liver dysfunction.
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Acetaminophen elimination kinetics in neonates, children, and adults.对乙酰氨基酚在新生儿、儿童和成人中的消除动力学。
Clin Pharmacol Ther. 1976 Mar;19(3):284-94. doi: 10.1002/cpt1976193284.
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Acetaminophen poisoning and toxicity.对乙酰氨基酚中毒与毒性
Pediatrics. 1975 Jun;55(6):871-6.