摘要
儿童药物中毒为最常见儿童意外事件之一,比例逐年上升,其中镇痛药、非甾体类抗炎药和抗组胺药是最常见的导致中毒的药物。药物中毒处理原则首要是稳定生命体征的对症支持治疗,再是中毒药物的解毒治疗。近年的研究已不再建议将洗胃作为常规药物中毒的治疗,推荐活性炭的使用。当重症或特殊情况发生时,可考虑使用机械通气、血液净化和体外膜肺氧合等高级生命支持技术的应用。
The drug poisoning is the most common cause of children's accident. The percentage is increasing every year. Analgesics, non-steroidal anti-inflammatory drugs and antihistamines are the most commonly ingested drugs in children. The principles of management of drug poisoning are: ( 1 ) resuscitation and initial stabilization; (2) diagnosis of type of poision. According to recent studies, gastric lavage should not routinely be used in all poisoning cases, instead the use of activated carbon is recommended. For severe or special cases advanced life support technologies such as mechanical ventilation, blood purification, extracorpo- real membrane oxygenation should be considered.
出处
《中国小儿急救医学》
CAS
2018年第2期94-99,共6页
Chinese Pediatric Emergency Medicine
关键词
药物中毒
儿童
Drug poisoning
Children