最近审阅: 1 十一月 2020
最近更新: 02 一月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 心动过速
  • 高血压
  • 低血压
  • 瞳孔缩小
  • 瞳孔散大
  • 心动过缓
  • 精神状态改变
  • 幻觉
  • 惊厥

其他诊断因素

  • 恶心
  • 呕吐
  • 腹痛
  • 腹泻
  • 呼吸困难
  • 皮肤潮红
  • 皮炎
  • 皮肤/黏膜刺激
  • 可见出血:鼻衄、黑粪症、血尿症、呕血、咯血
  • 头痛
  • 胸痛
  • 肌肉疼痛/肿胀
  • 皮肤苍白
  • 容易出现瘀伤
  • 瘀点
  • 黄疸
  • 扑翼样震颤
  • 腹水
  • 肝掌
  • 蜘蛛痣
  • 发汗
  • 皮肤干燥
  • 发热
  • 尿潴留
  • 便秘
  • 过度换气
  • 肌束震颤
  • 神经肌肉无力
  • 感觉改变

危险因素

  • 采食野生植物
  • 将野生植物发酵成茶
  • 孩子被发现或被怀疑摄入了植物

诊断性检查

首要检查

  • 心电图 (ECG)
  • 全血细胞计数 (FBC)
  • 血清电解质
  • 血清肌酐
  • 血清乳酸
  • 血清尿素/肌酐
  • 肝功能检查
  • INR
  • 动脉血气 (ABG)
  • 胸部 X 线检查
更多 首要检查

需考虑的检查

  • 肌钙蛋白水平
  • 血清地高辛水平
  • 对毒扁豆碱的反应
更多 需考虑的检查

治疗流程

急性处理

撰稿人

Director

New Mexico Poison and Drug Information Center

Professor

Pharmacy Practice and Administrative Sciences

University of New Mexico

Albuquerque

NM

利益声明

SS declares that she has no competing interests.

Medical Director

Program Director Medical Toxicology

Regional Poison Center at Children's Hospital of Michigan

Professor of Emergency Medicine and Pediatrics

Wayne State University School of Medicine

Detroit

MI

利益声明

CKA owns stock from Merck. CKA writes chapters for various textbooks (Critical Care Toxicology and Intensive Care Medicine) and monographs for ToxEd.

Dr Susan Smolinske and Dr Cynthia K. Aaron would like to gratefully acknowledge Dr Gerald F. O'Malley and Dr Rika N. O'Malley, previous contributors to this topic. GFOM and RNOM declare that they have no competing interests.

同行评议者展开全部内容

Clinical Toxicologist

Emergency Consultant

Emergency Department

Royal Perth Hospital

Perth

Australia

利益声明

JS declares that she has no competing interests.

Clinical Faculty

Department of Toxicology

Rocky Mountain Poison & Drug Center

Denver

CO

利益声明

SP declares that he has no competing interests.

Poison Center Director

California Poison Control System, Sacramento Division

University of California Davis Medical Center

Sacramento

Associate Clinical Professor of Pharmacy

University of California San Francisco School of Pharmacy

San Francisco

Clinical Professor of Medicine

Volunteer Clinical Faculty

University of California Davis School of Medicine

Sacramento

CA

利益声明

JA declares that she has no competing interests.

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