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洗胃:临床价值更新(Gastric Lavage: Position Paper Update)
原作者: Bryan Hayes,肖锋译 文章来源: 《中华急诊医学杂志》编辑部 发布日期:2013-03-20

Title: Gastric Lavage: Position Paper Update
题目:洗胃:临床价值更新
Author 作者: Bryan Hayes

In 2013, the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists published a second update to their position statement on gastric lavage for GI decontamination (original 1997, 1st update 2004).
2013年2月美国临床中毒学科学院和欧洲中毒中心和临床中毒医师学会联合发表了第二个洗胃在清除胃肠毒物时应用价值声明(原始版在1997年,2004年第一次更新)。
Here are the highlights 要点如下:
Gastric lavage should not be performed routinely, if at all, for the treatment of poisoned patients.
洗胃不应该作为治疗中毒病人的常规手段。
Further, the evidence supporting gastric lavage as a beneficial treatment even in special situations is weak.
另外,在某些特殊情况下支持洗胃有效应用的证据也是缺乏的。
In the rare instances in which gastric lavage is indicated, it should only be performed by individuals with proper training and expertise.
即使在罕见情况下应用洗胃,也要由经过培训并有经验的人员来操作。

Bottom line 要点:
Gastric lavage generally causes more harm than good. It should not be thought of as a viable GI decontamination method.
通常来讲,洗胃的害处多于益处。它不应该被认为是一个有效的清除胃肠毒物的方法。
References 参考文献:
Benson BE, et al. Position paper update: gastric lavage for gastrointestinal decontamination. Clin Toxicol 2013 Feb 18. [Epub ahead of print]
http://www.thepoisonreview.com/2013/02/23/gastric-lavage-fuggedaboutit/

文章来源:《中华急诊医学杂志》编辑部