Prospective evaluation of gastric emptying in the self-poisoned patient.
作者： Kevin S. Merigian , Martin Woodard , Jerris R. Hedges , James R. Roberts , Roger Stuebing
DOI: 10.1016/0735-6757(90)90146-Q
关键词:
摘要: The authors prospectively studied the effect of gastric emptying (GE) and activated charcoal (AC) upon clinical outcome in acutely self-poisoned patients. Presumed overdose patients (n = 808) were treated using an alternate day protocol based on a 10-question cognitive function examination presenting vital sign parameters. Asymptomatic 451) did not receive GE. AC was administered to asymptomatic only even days. GE remaining symptomatic 357) performed On days, alert had ipecac-induced emesis while obtunded received lavage. therapy followed emptying. nonemptying with AC. No deterioration occurred without use alter measures procedures significantly length stay emergency department, mean time intubated, or intensive care unit. Gastric lavage associated higher prevalence medical unit admissions (P .0001) aspiration pneumonia .0001). data support management selected acute fail show benefit from
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