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扑热息痛和枪伤自杀后行多器官移植。

Multiple organ transplantation after suicide by acetaminophen and gunshot wound.

机构信息

University of California, Davis, Department of Emergency Medicine, Davis, CA.

出版信息

West J Emerg Med. 2010 Dec;11(5):506-9.

Abstract

Emergency physicians (EP) and medical toxicologists are integral in identifying and treating patients with overdoses. Transplant centers are expanding acceptance criteria to consider those with poison-related deaths. We present a case of a simultaneous gunshot wound to the head and an acetaminophen overdose. This case highlights the importance of EPs and medical toxicologists in recognizing the medical complexity of suicides, optimizing treatment, and timing of organ procurement. Early antidote administration and aggressive supportive care allowed the patient to be evaluated as a potential donor. EPs and medical toxicologists have integral roles in overdose patients as organ donors.

摘要

急诊医师(EP)和医学毒理学家是识别和治疗药物过量患者的重要力量。移植中心正在扩大接受标准,考虑那些与中毒相关的死亡患者。我们报告了一例头部同时遭受枪击和对乙酰氨基酚过量的病例。该病例强调了 EP 和医学毒理学家在识别自杀行为的医学复杂性、优化治疗以及器官获取时机方面的重要性。早期解毒剂的使用和积极的支持性护理使患者能够被评估为潜在的供体。EP 和医学毒理学家在药物过量患者作为器官捐献者方面发挥着重要作用。

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本文引用的文献

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Therapeutic drug monitoring in drug overdose.药物过量时的治疗药物监测
Br J Clin Pharmacol. 2001;52 Suppl 1(Suppl 1):97S-102S. doi: 10.1046/j.1365-2125.2001.0520s1097.x.
9
Paracetamol poisoning and the kidney.
J Clin Pharm Ther. 1993 Feb;18(1):5-8. doi: 10.1111/j.1365-2710.1993.tb00560.x.
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Kidney donation after paracetamol overdose.
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