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中毒病人在急诊入院病人中占有相当大的比例,因此,选择正确的清除胃内毒物的方法非常重要。 1 洗胃和催吐 洗胃和催吐是两种主要的胃排空方法。Harris等提出,如果病人昏迷不能进行催吐,那么,唯一的选择是洗胃。然而,Saetta等在对病人进行洗胃的过程中,通过内窥镜观察发现,洗胃法不能彻底清除胃内容物。因而他们对急性中毒病人使用洗胃法提出了异议。但是,在某些毒性较强的药物中毒时,洗胃法确实可以起到非常重要的作用。Krenzelak等提出,三环抗抑郁药会产生严重心律失
Poisoned patients account for a significant proportion of patients admitted to the emergency room, so it is important to choose the correct method of removing toxic substances in the stomach. 1 gastric lavage and vomiting gastric lavage and vomiting are two main methods of gastric emptying. Harris et al suggest that if the patient coma fails to induce vomiting, the only option is gastric lavage. However, during gastric lavage of the patient, Saetta et al. Found by endoscopy that gastric lavage was not completely eliminated by gastric lavage. Thus they challenged the use of gastric lavage in patients with acute poisoning. However, gastric lavage can indeed play a very important role in the poisoning of some highly toxic drugs. Krenzelak et al. Suggest that tricyclic antidepressants can cause severe arrhythmia