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洗胃是抢救急性口服中毒的重要措施。目前的洗胃方法有催吐法、鼻饲法、胃管虹吸法、电动洗胃机洗胃和剖腹洗胃。正确选择洗胃方法对抢救成功至关重要。1 剖腹洗胃 国内1970年已开展此项疗法,尽管积累了不少经验,但因对其适应证缺乏统一标准,故临床使用中存在滥用现象。我们认为剖腹洗胃毕竟属创伤性,有一定的并发症,必须严格掌握指征,仅在必要时,作为抢救经口中毒危重患者的最后手段。多数学者认为,采用此项疗法的前提必须是服毒量大、病情危重、时限一般在4小时内而又存在下列情况时:(1)喉头水肿,食管粘膜糜烂、水肿,或食管痉挛,胃管插
Gastric lavage is an important measure to rescue acute oral poisoning. The current method of gastric lavage emetic method, nasal feeding method, gastric tube siphon method, electric gastric lavage gastric lavage and caesarean lavage. The correct choice of gastric lavage method is critical to the success of the rescue. 1 laparotomy laparotomy in China has been carried out in 1970 in this therapy, despite the accumulation of a lot of experience, but due to the lack of a uniform standard of indication, it is the abuse of clinical use of the phenomenon. After all, we think laparotomy gastric lavage is traumatic, with certain complications, we must strictly control indications, only when necessary, as the last resort to rescue critically ill patients with oral poisoning. Most scholars believe that the premise of the use of this therapy must be toxic dose, critical condition, the time limit is generally within 4 hours and the following conditions exist: (1) laryngeal edema, esophageal mucosal erosion, edema, or esophageal spasm, stomach Insert