最近审阅: 4 十一月 2020
最近更新: 24 九月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 摄入≥ 150 mg/kg 或 ≥ 6.5 g 的阿司匹林或阿司匹林等效物
  • 摄入冬青油
  • 未知的毒素摄入或暴露
  • 自残或自杀企图
  • 异常行为
  • 3 岁或以下的儿童以及 70 岁或以上的成人
  • 恶心、呕吐、呕血和上腹部疼痛
  • 发热和发汗
  • 呼吸短促
  • 呼吸困难、呼吸过度、库斯莫尔呼吸
  • 耳鸣和/或耳聋
  • 不适和/或头晕
  • 运动障碍、扑翼样震颤、木僵
  • 意识错乱和/或谵妄(易激惹、幻觉)
  • 昏迷和/或视盘水肿
  • 癫痫发作
  • 啰音+低氧饱和

危险因素

  • 摄入≥ 150 mg/kg 或 ≥ 6.5 g 的阿司匹林或阿司匹林等效物
  • 冬青油摄入
  • 摄入次水杨酸铋
  • 自残或自杀未遂病史
  • 3 岁或以下的儿童以及 70 岁或以上的成人

诊断性检查

首要检查

  • 动脉血气 (ABG)
  • 血清电解质检查
  • 血清水杨酸水平
  • 血清尿素和肌酐
  • 血清酮体
  • 血糖
  • 全血细胞计数(FBC)
  • 血清肝功能检查
  • 血清 PT、激活 PTT、INR
  • 毒理学筛查
  • 胸部 X 线检查
  • 心电图 (ECG)
更多 首要检查

需考虑的检查

  • 超声心动图
  • 头部 CT 扫描
  • 脑电图 (EEG)
更多 需考虑的检查

治疗流程

撰稿人

Medical Toxicology Fellowship Program Director

Rocky Mountain Poison and Drug Safety

Denver

Associate Professor

Department of Emergency Medicine

University of Colorado School of Medicine

Aurora

CO

利益声明

CH declares that he has no competing interests.

Attending Physician

Department of Emergency Medicine and Rocky Mountain Poison and Drug Safety

Denver Health

Denver

Professor

Department of Emergency Medicine

University of Colorado School of Medicine

Aurora

CO

利益声明

EL is an author of a reference cited in this topic.

Dr Chris Hoyte and Dr Eric Lavonas would like to gratefully acknowledge Dr Kathryn A. Koch, a previous contributor to this topic. KAK declares that she has no competing interests.

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Editor

European Journal of Emergency Medicine

Professor of Emergency Medicine

Chinese University of Hong Kong

Hong Kong

People's Republic of China

利益声明

CAG is the editor of the European Journal of Emergency Medicine and receives an annual honorarium from Wolters Kluwer Health, the journal's publishers.

Director

Division of Research

Department of Emergency Medicine

Albert Einstein Medical Center

Philadelphia

PA

利益声明

GFOM declares that he has no competing interests.

Clinical Professor of Surgery (Emergency Medicine)

University of Texas Southwestern Medical Center

Dallas

TX

利益声明

PW is an author of a reference cited in this topic.

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