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    洗胃:臨床價值更新(Gastric Lavage: Position Paper Update)
    原作者: Bryan Hayes,肖鋒譯 文章來源: 《中華急診醫學雜志》編輯部 發布日期:2013-03-20

    Title: Gastric Lavage: Position Paper Update
    題目:洗胃:臨床價值更新
    Author 作者: Bryan Hayes

    In 2013, the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists published a second update to their position statement on gastric lavage for GI decontamination (original 1997, 1st update 2004).
    2013年2月美國臨床中毒學科學院和歐洲中毒中心和臨床中毒醫師學會聯合發表了第二個洗胃在清除胃腸毒物時應用價值聲明(原始版在1997年,2004年第一次更新)。
    Here are the highlights 要點如下:
    Gastric lavage should not be performed routinely, if at all, for the treatment of poisoned patients.
    洗胃不應該作為治療中毒病人的常規手段。
    Further, the evidence supporting gastric lavage as a beneficial treatment even in special situations is weak.
    另外,在某些特殊情況下支持洗胃有效應用的證據也是缺乏的。
    In the rare instances in which gastric lavage is indicated, it should only be performed by individuals with proper training and expertise.
    即使在罕見情況下應用洗胃,也要由經過培訓并有經驗的人員來操作。

    Bottom line 要點:
    Gastric lavage generally causes more harm than good. It should not be thought of as a viable GI decontamination method.
    通常來講,洗胃的害處多于益處。它不應該被認為是一個有效的清除胃腸毒物的方法。
    References 參考文獻:
    Benson BE, et al. Position paper update: gastric lavage for gastrointestinal decontamination. Clin Toxicol 2013 Feb 18. [Epub ahead of print]
    http://www.thepoisonreview.com/2013/02/23/gastric-lavage-fuggedaboutit/

    文章來源:《中華急診醫學雜志》編輯部

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