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Current Controversies in Gastrointestinal Decontamination

机译:胃肠道净化的目前争议

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Most poisonings reported to American poison control centers occur in the home. The most common route of exposure is in-gestion, which is responsible for most fatalities. The goal of gastrointestinal decontamination is to prevent absorption of the toxin. Trends in treating poisoned patients have changed over the past few decades in light of a move toward practicing evidence-based medicine. Efficacy and clinical outcome have come into question and have led to position papers published recently regarding syrup of ipecac, gastric lavage, activated charcoal, and whole-bowel irrigation. These different methods of decontamination and the scientific data supporting each one will be reviewed, and the current controversies surrounding each will be discussed.
机译:向美国毒物控制中心报告的大多数中毒发生在家里。 最常见的曝光路线是在打击,这对大多数死亡负责。 胃肠道去污的目标是防止毒素的吸收。 鉴于练习基于证据的药物,过去几十年来治疗中毒患者的趋势已经发生变化。 疗效和临床结果已经存在问题,并导致最近关于IPecac,胃灌洗,活性炭和全肠灌溉糖浆发布的定位文件。 将审查这些不同的净化方法和支持每个支持的科学数据,并讨论周围的当前争议。

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