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[毒理学实验室在急性中毒诊断中的作用及履行的职责]

[Role and duties performed by a toxicologic laboratory in diagnosis of acute poisoning].

作者信息

Panas M

机构信息

Katedry Medycyny Pracy i Chorób Zawodowych, Kliniki Toksykologii, Akademii Medycznej im. M. Kopernika, Krakowie.

出版信息

Folia Med Cracov. 1990;31(4):217-24.

PMID:2135891
Abstract

In late 1960's in Poland the problem of acute poisonings was separated from the others and found very important by itself. In consequence many toxicological centres were founded where toxicological laboratories were opened to make toxicological analyses. To make laboratory work more effective the analyst ought to enter into dialogue with the clinicist. Nowadays more often the analyst is expected to be an active not passive member of the team engaged in the process of treatment. Development of modern analytical methods enables improvement of clinical toxicological analytics. Toxicological analyst is obliged to fulfil many tasks which are imposed upon him by the clinicist; that is, to determine properly and as quickly as possible toxic substances especially in case of "complex poisoning", and to make qualitative and quantitative analyses which help to institute appropriate treatment. The analyst ought to choose proper analytical method very carefully and take also into account its purpose and usefulness. Economic approach to the method plays an important role too. Unfortunately, it is still underestimated in Poland. For toxicological analyst further development of analytical methods which can make his work easier, is of great importance. The same value for the analyst has close co-operation with the clinicist.

摘要

20世纪60年代末,在波兰,急性中毒问题从其他问题中分离出来,其自身被视为非常重要。因此,许多毒理学中心得以建立,在这些中心里开设了毒理学实验室以进行毒理学分析。为了使实验室工作更有效,分析人员应该与临床医生展开对话。如今,人们更多地期望分析人员成为参与治疗过程的团队中积极而非被动的成员。现代分析方法的发展有助于改进临床毒理学分析。毒理学分析人员必须完成临床医生交予他的许多任务,也就是说,要正确且尽快地确定有毒物质,尤其是在“复合中毒”的情况下,并进行定性和定量分析,以帮助开展适当的治疗。分析人员应该非常谨慎地选择合适的分析方法,同时还要考虑其目的和实用性。方法的经济性考量也起着重要作用。不幸的是,这一点在波兰仍未得到充分重视。对于毒理学分析人员来说,能使他的工作更轻松的分析方法的进一步发展至关重要。与临床医生密切合作对分析人员同样具有重要价值。

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