頁籤選單縮合
題 名 | Drug Overdoses in an Epidemiologic Report of Kaohsiung Poison Control Center=藥物過量--高雄毒物諮詢中心流行病學報告 |
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作 者 | 林增記; 薛智中; 施曜綸; 蔡錦蓮; 蔡米山; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 5:2 2003[民92.] |
頁 次 | 頁143-150 |
分類號 | 418.731 |
關鍵詞 | 藥物過量; 高雄; 毒物諮詢中心; Drug overdose; Kaohsiung; Poison control center; |
語 文 | 英文(English) |
中文摘要 | 高雄毒物諮詢中心成立於1995年7月,許多藥物過量的中毒個案主要由南臺灣急診醫師報告到高雄毒物諮詢中心。從1995年7月至2002年212月,所有的電話諮詢均被記錄,我們分析年齡、性別、藥物過量之原因及過量之藥物,總共有2557藥物過量個案,平均年齡31.18±17.04歲,女性多於男性,成年最常見之藥物過量原因是自殺,小孩則是誤食最多,最常見的是中樞神經藥物的過量,其中以苯重氮基鹽最多,接著是ethanol, acetaminophen, zolpidem, carbamazepine, propranolol and fluoxetine。近年來文獻顯示,flumazenil用來治療苯重氮基鹽過量之必要性已被挑戰。有增多的證謔顯示,服食acetaminophen雖然過量超過二十四小時,用N-acetylcystine治療仍然有療效。此外,活性碳血液灌注,對急性威脅生命之carbamazepine過量效果顯示,我們回顧文獻並討論這些過量藥物的一些資訊。 |
英文摘要 | The Kaohsiung Poison Control Center (Kaohsiung PCC) has been set up since July 1995. Many poisoned cases with drug overdoses have been reported to this center from doctors mainly in the emergency departments in Southern Taiwan. From July 1995 to December 2002, all telephone calls during this period were recorded. We analyzed the age, sex, reasons for drug overdose and overdose drugs. Totally, there were 2557 cases. The average age was 31.18±17.04 years old. We found the number of female overdose cases was higher than that of male cases. Suicidal intent was the most common reason for drug overdoses in adults. In children, an accident was the leading cause. Drugs which had CNS effects were encountered the most frequently. The majority of these drugs were benzodiazepines. The following overdose drugs were ethanol, acetaminophen, zolpidem, carbamazepine, propranolol and fluoxietine. In recent repots, the role of flumazenil usage has been challenged for benzodiazepine overdoses. There was incasing evidence of the beneficial effect on N-acetylcysteine instituted more than 24 hours after acetaminophen overdose. Charcoal hemoperfusion has been used effectively to treat acute, life-threatening carbamazepine overdose. We review the literature and discuss some information about these overdose drugs. |
本系統中英文摘要資訊取自各篇刊載內容。