Ng R C, Darwish H, Stewart D A
Can Med Assoc J. 1974 Sep 21;111(6):537-8.
A comparative study was made of pulmonary complications following the use of ipecac syrup and gastric lavage for hydrocarbon ingestion. The selected 255 patients had chest radiography when first seen and again two to five days later. Of these patients 74 or 29% had been treated with ipecac syrup, 41 or 16% by gastric lavage. On follow-up radiographs 19% of the ipecac-treated group were unchanged or worsened, compared with 39% of the lavage group, suggesting that pneumonitis was significantly less severe in the ipecac-treated patients. Use of ipecac is preferred over gastric lavage for alert patients who have ingested an excessive amount of hydrocarbon.
对吐根糖浆和洗胃用于烃类摄入后的肺部并发症进行了一项对比研究。选取的255例患者在初诊时及2至5天后再次进行了胸部X光检查。这些患者中，74例（29%）接受了吐根糖浆治疗，41例（16%）接受了洗胃治疗。在后续X光片检查中，接受吐根糖浆治疗的患者中有19%情况未变或恶化，而洗胃组这一比例为39%，这表明接受吐根糖浆治疗的患者发生的肺炎严重程度明显较低。对于摄入过量烃类的清醒患者，使用吐根糖浆比洗胃更可取。
