Lee Justine A
Pet Poison Helpline, a division of SafetyCall International, PPLC, 3600 American Boulevard West, Suite 725, Minneapolis, MN 55431, USA.
Vet Clin North Am Small Anim Pract. 2013 Jul;43(4):757-71. doi: 10.1016/j.cvsm.2013.03.010. Epub 2013 Apr 29.
This article reviews management of the acutely poisoned veterinary patient, including initial telephone triage, appropriate communication and history gathering from the pet owner, decontamination methods (including the use of appropriate emetic agents and dosing of activated charcoal), and general treatment of the poisoned patient. Symptomatic and supportive care of the poisoned patient includes the use of fluid therapy, gastrointestinal support (eg, antacids), central nervous system support (eg, muscle relaxants, anticonvulsants), sedatives/reversal agents (eg, phenothiazines, naloxone, flumazenil), hepatoprotectants, and miscellaneous antidotal therapy.
本文综述了急性中毒兽医患者的处理方法,包括初始电话分诊、与宠物主人进行恰当沟通及病史采集、去污方法(包括使用合适的催吐剂和活性炭的剂量)以及中毒患者的一般治疗。中毒患者的对症和支持治疗包括使用液体疗法、胃肠道支持(如抗酸剂)、中枢神经系统支持(如肌肉松弛剂、抗惊厥药)、镇静剂/拮抗剂(如吩噻嗪类、纳洛酮、氟马西尼)、肝脏保护剂以及其他解毒治疗。