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芬兰家用医用活性炭治疗儿童中毒的可及性及给药成功率

Medical charcoal for a child's poisoning at home: availability and success of administration in Finland.

作者信息

Lamminpää A, Vilska J, Hoppu K

机构信息

Department of Clinical Pharmacology, University of Helsinki, Finland.

出版信息

Hum Exp Toxicol. 1993 Jan;12(1):29-32. doi: 10.1177/096032719301200106.

Abstract

In a prospective study, 174 families were interviewed over the telephone to find out whether the treatment of their child's poisoning with medical charcoal was successfully completed. The majority (103; 59.2%) of the families had no charcoal at home. The mean delay in administration for those who had to obtain charcoal was 41.6 min; significantly longer than the 24.5 min taken for those who had charcoal at home (P < 0.001). The treatment succeeded in all but five of the 102 patients given charcoal at home. Thus for mild poisoning in young children, the administration of activated charcoal at home, under the guidance of a Poison Information Centre, could be a rapid and safe first-aid treatment. Presently the widespread unavailability of charcoal in the home in Finland causes an unnecessary delay in treatment that could be of clinical importance.

摘要

在一项前瞻性研究中,通过电话采访了174个家庭,以了解他们孩子用药用炭治疗中毒的过程是否成功完成。大多数家庭(103个,占59.2%)家中没有炭。那些必须获取炭的家庭给药的平均延迟时间为41.6分钟;明显长于家中有炭的家庭所用的24.5分钟(P<0.001)。在家中接受炭治疗的102名患者中,除5人外,其余治疗均成功。因此,对于幼儿轻度中毒,在中毒信息中心的指导下在家中给予活性炭可能是一种快速且安全的急救治疗方法。目前,芬兰家庭中普遍无法获得炭,这导致了不必要的治疗延迟,而这可能具有临床重要性。

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