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The pelvic ureter. 骨盆输尿管。
D Skinner
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引用次数: 0
Factors predisposing to hypersensitivity reactions to intravenous anaesthetics. 诱发静脉麻醉药过敏反应的因素。
Pub Date : 1977-11-01 DOI: 10.1177/003591577707001109
R. Clarke, J. Fee, J. Dundee
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引用次数: 14
Expiratory resistance and airway pressures. 呼气阻力和气道压力。
M R Nott
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引用次数: 0
The radiology of congenital conductive lesions. 先天性传导性病变的放射学研究。
G A Lloyd, P D Phelps
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引用次数: 0
Emergency treatment of common poisons: emptying the stomach. 常见中毒的急救:排空胃。
R Goulding, G N Volans
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引用次数: 0
Development of the middle and external ear in man. 人类中耳和外耳的发育。
R E Bowden
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引用次数: 0
Visual field examination. 视野检查。
A I Friedmann
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引用次数: 0
Principles of Emergency Treatment for Swallowed Poisons 吞咽中毒的急救原则
Pub Date : 1977-11-01 DOI: 10.1177/003591577707001105
R. Goulding, G. Volans
berately taken an overdose, and these form the vast majority of poisonings that we see, often needs rapid assessment and may require instant resuscitative management; almost certainly the conscious case will require efficient removal from the body of any unabsorbed toxic material. The demeanour of patients may range from highly hysterical and tearful to grossly depressed and uncommunicative; and they are frequently accompanied by family, friends or colleagues from whom further information may be desirable and to whom reassurance may be necessary. The appropriate emergency treatment cannot, however, be considered as a definitive clinical procedure: according to the nature of the poison, equally urgent measures may be needed to minimize the effects of the substance already absorbed; and a small but significant proportion, probably about 5% of all poisoned patients, will require further, and sometimes complicated, techniques for active removal of the toxic chemical from their bodies. Such techniques include peritoneal and hemodialysis and require the expertise of the appropriate hospital units. As a sombre background to this symposium must be borne in mind the enormous cost not only of emergency management but of the subsequent hospitalization of 100 000 persons a year in the United Kingdom. Add to this the cost ofmanaging those 5 % who require further, sometimes longterm treatment and follow up, and of the psychiatric treatment of those who have deliberately taken a poisonous substance, and it becomes apparent that the topic is one with very considerable significance to society as a whole. A few other questions perhaps remain to be answered. Do we admit too many poisoned patients and would it be better to establish more poison treatment centres that would act as specialized units for the treatment, both medical and psychiatric, of all cases of ingested poisoning? Or is our present management reasonably acceptable, and has the trend passed its peak?
我们所见的绝大多数中毒都是由于误服过量,通常需要快速评估,可能需要立即进行复苏管理;几乎可以肯定的是,在清醒的情况下,需要从体内有效地清除任何未被吸收的有毒物质。患者的行为举止可能从高度歇斯底里和泪流满面到极度沮丧和沉默寡言;他们经常有家人、朋友或同事陪伴,他们可能需要进一步的信息,也可能需要安慰。然而,适当的紧急处理不能被视为确定的临床程序:根据中毒的性质,可能需要采取同样紧急的措施,以尽量减少已吸收物质的影响;在所有中毒患者中,有一小部分人(大约占5%)需要进一步的,有时是复杂的技术来主动清除体内的有毒化学物质。这类技术包括腹膜透析和血液透析,需要适当医院单位的专门知识。作为本次研讨会的一个严峻背景,必须牢记的是,不仅应急管理的巨大费用,而且随后每年在联合王国住院的10万人的巨大费用。再加上管理那5%需要进一步、有时是长期治疗和随访的病人的费用,以及对那些故意服用有毒物质的人进行精神治疗的费用,很明显,这个话题对整个社会来说是一个非常重要的话题。也许还有其他一些问题有待回答。我们是否收治了太多的中毒病人?是否应该建立更多的中毒治疗中心,作为治疗所有摄入中毒病例的医学和精神治疗的专门单位?还是我们目前的管理还算可以接受,趋势已经过了顶峰?
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引用次数: 11
Evolution, environment and cancer. 进化,环境和癌症。
Y Ors
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引用次数: 0
Factors predisposing to hypersensitivity reactions to intravenous anaesthetics. 诱发静脉麻醉药过敏反应的因素。
R S Clarke, J P Fee, J W Dundee
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引用次数: 0
期刊
Proceedings of the Royal Society of Medicine
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