关键字:
药物中毒

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全肠道灌洗意见论文更新
原作者: Bryan Hayes,葛赟译,肖锋校对 文章来源: 《中华急诊医学杂志》编辑部 发布日期:2015-03-03
关键词:药物中毒 全肠道灌洗

Title: Whole Bowel Irrigation Position Paper Update... Well, Not Really
题目:全肠道灌洗意见论文更新
翻译:葛赟 校对:肖锋
Author 作者: Bryan Hayes

The original position paper on the use of whole bowel irrigation (WBI) was first published in 1997 by the American Academy of Clinical Toxicology (AACT) and the European Association of Poisons Centres and Clinical Toxicologists (EAPCCT) and updated in 2004.

全肠道灌洗使用方法的原始权威性文献出版于1977年,由美国临床毒理学科学院 (AACT)和欧洲毒药中心及临床毒理学家协会(EAPCCT)编写,并在2004年对此文进行了修改。
The 2015 iteration concludes, "There is no new evidence that would require a major revision of the conclusions of the 2004 position statement."

2015年的研究表明,"没有新的证据表明对2004年论文声明的结论需要较大的修改"。
Indications
适应症:
1 Potentially toxic ingestions of sustained-release or enteric-coated drugs有潜在毒性的缓释或肠溶药物的摄入
2 Substantial ingestions of iron, lithium, or potassium
大量的铁、锂、或钾的摄入
3 Removal of ingested packets of illicit drugs
清除体内摄取的违禁药物包

Application to Clinical Practice
在临床实践中的应用
WBI can facilitate removal of select toxicants from the gastrointestinal tract in some patients, but there is no convincing evidence from clinical studies that it improves the outcome of poisoned patients.

对一些病人而言,全肠道灌洗能帮助胃肠道某些毒物的排出,但是从临床研究来看,并没有确切的证据表明全肠道灌洗能提高中毒患者的疗效。
References 参考文献
Thanacoody R, et al. Position paper update: Whole bowel irrigation for gastrointestinal decontamination of overdose patients. Clin Toxicol 2015;53(1):5-12.

文章来源:《中华急诊医学杂志》编辑部