BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 分泌物增加
  • 肌束震颤
  • 针尖样瞳孔
全部具体信息

其他诊断因素

  • 视觉障碍
  • 呕吐
  • 流感样症状
  • 大小便失禁
全部具体信息

危险因素

  • 农药可得性
  • 有自伤史或最近出现人际冲突
  • 精神疾病
  • 酒精或药物滥用
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诊断性检查

首要检查

  • 阿托品治疗试验
  • 血浆胆碱酯酶
  • 红细胞胆碱酯酶
全部具体信息

需要考虑的检查

  • 胸片
  • 心电图
  • 血气
全部具体信息

治疗流程

推断

疑似中毒

急性

职业或意外中毒

故意摄入或采用神经毒剂的恐怖袭击/战争

疾病持续状态

中间综合征

有机磷酸盐诱发的迟发性神经病变

贡献者

Professor of Clinical Pharmacology

Pharmacology Department

Sydney Medical School

University of Sydney

Sydney

New South Wales

Australia

利益冲突披露
NB declares that he has no competing interests.

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Assistant Professor of Emergency Medicine

Division of Medical Toxicology

University of Massachusetts Medical School

North Worcester

MA

利益冲突披露
SBB declares that he has no competing interests.

Program Director

Medical Toxicology

Regional Poison Center

Children's Hospital of Michigan

Detroit

MI

利益冲突披露
CKA holds stock in Merck Pharmaceuticals and is a paid consultant for ToxEd. She was briefly a paid consultant for Lexi-Comp.

Professor Medical Director

San Francisco Division

California Poison Control System

San Francisco

CA

利益冲突披露
KRO declares that he has no competing interests.

Consultant Physician and Clinical Toxicologist

National Poisons Information Service (Newcastle)

Newcastle-upon-Tyne

UK

利益冲突披露
RT declares that he has no competing interests.

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