急性中毒的急诊评估研究进展
Research progress in emergency assessment of acute poisoning
柯晶晶 1洪广亮2
作者信息
- 1. 台州市第一人民医院急诊科,台州 318020
- 2. 温州医科大学附属第一医院急诊科,温州 325000
- 折叠
摘要
急性中毒是一类危及患者生命的常见急重症,早期准确地评估病情并给予恰当治疗是提高救治成功率的重要环节.目前急性中毒病情评估尚缺乏统一的方法,常用的各类评分如中毒严重度评分(PSS)、改良早期预警评分(MEWS)、急性生理与慢性健康评分Ⅱ(APACHE Ⅱ)等,能为急性中毒病情评估提供有用信息,但各评分的不同特点限制这些评分在临床上广泛应用.面对急性中毒复杂的临床需求,我们需实施分阶段、动态的评估策略,方能更加准确地评估急性中毒患者病情.
Abstract
Acute poisoning represents a prevalent critical illness jeopardizing patient survival.Early,precise assessment of the condition and subsequent appropriate therapeutic intervention are pivotal in enhancing treatment success rates.Currently,a standardized approach to evaluating the severity of acute poisoning is lacking.Various scoring systems,including Poisoning Severity Score(PSS),Modified Early Warning Score(MEWS),and Acute Physiology and Chronic Health Evaluation Ⅱ(APACHE Ⅱ),offer valuable insights into acute poisoning assessment.Nevertheless,the distinct attributes of each scoring system constrain their broad clinical utility.Confronted with the intricate clinical demands of acute poisoning,the adoption of staged and dynamic assessment strategies is imperative to ascertain the condition of acute poisoning patients with greater accuracy.
关键词
中毒/急诊医学/急性中毒/评估/有机磷农药/百草枯Key words
Poisoning/Emergency medicine/Acute poisoning/Assessment/Organicphosphorus pesticides/Paraquat引用本文复制引用
基金项目
国家自然科学基金(81871550)
国家重点研发计划(2021YFC3002205)
出版年
2024
NETL
NSTL
万方数据