最后审阅: 1 七月 2021
最后更新: 04 二月 2021

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 精神状态改变
  • 心动过速
  • 低血压
  • 瞳孔散大
  • 皮肤发热、干燥、潮红
  • 精神状态改变
  • 肠鸣音减少或消失
  • 尿潴留
  • 眼部体征
  • 神经系统体征

其他诊断因素

  • 5-羟色胺综合征的特征

危险因素

  • 抑郁史
  • 强迫性障碍
  • 慢性疼痛
  • 注意缺陷多动障碍

诊断性检查

首要检查

  • 心电图 (ECG)
  • 碳酸氢钠尝试性治疗
  • 动脉血气 (ABG)

需考虑的检查

  • 血清三环类抗抑郁药浓度
  • 血清中对乙酰氨基酚浓度
  • 血清中水杨酸盐浓度
  • 尿液药物筛查

治疗流程

撰稿人

作者

Alastair Newton, MB ChB, FCEM

Staff Specialist in Emergency Medicine

Emergency Department

The Prince Charles Hospital

Brisbane

Queensland

Australia

利益声明

AN declares that he has no competing interests.

鸣谢

Dr Alastair Newton would like to gratefully acknowledge Dr Catherine Kelly and Dr Robert S. Hoffman, previous contributors to this topic. CK and RSH declare that they have no competing interests.

同行评议者

Edward Boyer, MD

Lecturer Pediatrics

The Children's Hospital

Boston

MA

利益声明

EB declares that he has no competing interests.

Ruben Thanacoody, MD, FRCP(Edin)

Consultant Physician and Clinical Toxicologist

National Poisons Information Service (Newcastle)

Newcastle-upon-Tyne

UK

利益声明

RT declares that he has no competing interests.

Laurie Prescott, MD, FRCP (Lond), FRCP (Edin), FFPM, FRSE

Emeritus Professor of Clinical Pharmacology

University of Edinburgh and Western General Hospital

Edinburgh

UK

利益声明

LP declares that he has no competing interests.

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