Department of Medical Toxicology, Banner Good Samaritan Medical Center, Phoenix, AZ.
Department of Medical Toxicology, Banner Good Samaritan Medical Center, Phoenix, AZ.
Chest. 2011 Sep;140(3):795-806. doi: 10.1378/chest.10-2548.
Poisonings, adverse drug effects, and envenomations continue to be commonly encountered. Patients often present critically ill and warrant ICU admission. Many other patients who are initially stable have the potential for rapid deterioration and require continuous cardiopulmonary and neurologic monitoring. Given the potential for rapid deterioration, and because patients need continuous monitoring, ICU admission is frequently required. This article is the first of a three-part series to be published in CHEST; it discusses general management, laboratory tests, enhanced elimination, and emerging therapies. The second article will address the management of specific overdoses; the last will cover plants, mushrooms, envenomations, and heavy metals.
中毒、药物不良反应和毒液中毒仍然是常见的。患者常出现病危，需要 ICU 入院治疗。许多最初病情稳定的其他患者有迅速恶化的可能，需要持续进行心肺和神经监测。鉴于可能迅速恶化，且患者需要持续监测，因此经常需要 ICU 入院治疗。本文是 CHEST 杂志上发表的三部分系列文章的第一篇；它讨论了一般管理、实验室检查、增强清除和新出现的治疗方法。第二篇文章将讨论特定药物过量的处理；最后一篇将涵盖植物、蘑菇、毒液和重金属。
