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[毒物的清除]

[Elimination of poisons].

作者信息

Lenz K

出版信息

Wien Med Wochenschr. 1982 Oct 31;132(20):489-94.

PMID:6818774
Abstract

Therapeutic methods for treating poisoned men are based on the principles of intensive care therapy. The elimination of toxins depends on the circulatory circumstances; an enhancement of poison elimination can be achieved in providing a normal circulation. In the treatment of most cases of poisoning gastric and gut lavage will be sufficient. An extracorporeal toxin elimination with hemodialysis or hemoperfusion will be reserved for special cases, because of increased technical and personal expense and a higher complication rate, compared to other methods of treatment in poisoning. Forced diuresis is a simple method, but the efficacy is reduced to a small number of substances. Also reduced to certain toxins is the method of elimination with hyperventilation.

摘要

治疗中毒男性的方法基于重症监护治疗原则。毒素的清除取决于循环状况;在提供正常循环的情况下可增强毒物清除。在大多数中毒病例的治疗中,洗胃和肠道灌洗就足够了。与中毒的其他治疗方法相比,由于技术和人力成本增加以及并发症发生率更高,血液透析或血液灌流等体外毒素清除方法将仅用于特殊情况。强制利尿是一种简单的方法,但对少数物质的疗效会降低。过度通气清除毒素的方法也仅对某些毒素有效。

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