Berchtold P, Gossweiler B
Medizinische Universitätsklinik, Inselspital Bern.
Schweiz Med Wochenschr. 1993 May 1;123(17):887-91.
Poisonings are frequently encountered in hospital emergency departments. Approximately 80% of poisonings occur by ingestion of toxic substances. The basic approach to the poisoned patient includes initial stabilization to correct immediate life-threatening problems, treatment to reduce absorption, measures to improve elimination of the toxin and the use of specific antidotes. Traditional gastric lavage is indicated today in severely intoxicated patients if they present within the first few hours of ingestion. Administration of activated charcoal is recommended in most cases of poisoning. It should be administered early, in an adequate dose and repeatedly if necessary.
中毒在医院急诊科很常见。约80%的中毒是由于摄入有毒物质所致。对中毒患者的基本处理方法包括初步稳定病情以纠正即刻危及生命的问题、减少吸收的治疗、促进毒素排出的措施以及使用特效解毒剂。如今,对于严重中毒且在摄入毒物后数小时内就诊的患者,仍需进行传统的洗胃。大多数中毒病例建议使用活性炭。应尽早给予,剂量要足够,必要时可重复使用。