Perrone J, Hoffman R S, Goldfrank L R
Department of Medical Toxicology, New York City Poison Control Center, New York.
Emerg Med Clin North Am. 1994 May;12(2):285-99.
Many considerations factor into selecting the most appropriate method of gastrointestinal decontamination used in the poisoned patient. A thorough knowledge of the indications and efficacy as well as contraindications and complications of each modality is critical to the clinician's assessment. This article examines the current utility of syrup of ipecac-induced emesis, orogastric lavage, activated charcoal, cathartics, and whole bowel irrigation. In addition, the role of multiple dose activated charcoal and the controversial issue of the N-acetylcysteine and activated charcoal interaction are discussed.
在为中毒患者选择最合适的胃肠道去污方法时，需要考虑很多因素。全面了解每种方法的适应证、疗效以及禁忌证和并发症，对临床医生的评估至关重要。本文探讨了吐根糖浆催吐、经口胃管洗胃、活性炭、泻药和全肠灌洗的当前应用。此外，还讨论了多剂量活性炭的作用以及N - 乙酰半胱氨酸与活性炭相互作用这一有争议的问题。
