中国急性铊中毒诊断与治疗专家共识(2021)  

Chinese expert consensus on diagnosis and treatment of acute thallium poisoning(2021)

作　　者：中国毒理学会中毒与救治专业委员会 中华医学会急诊医学分会中毒学组 彭晓波 邱泽武 张劲松[3] 兰超[4] Chinese Society of Toxicology Poisoning and Treatment of Specialized Committee;Poisoning Group of Emergency Medicine Branch of Chinese Medical Association

机构地区：[1]不详 [2]全军中毒救治中心,解放军总医院第五医学中心血液病医学部化学损伤救治科 [3]江苏省人民医院急诊科 [4]郑州大学第一附属医院急诊科

出　　处：《中华危重病急救医学》2021年第4期385-392,共8页Chinese Critical Care Medicine

基　　金：国家重点研发计划项目(2018YFC1602600,2019YFC1606300)。

摘　　要：急性铊中毒是一种相对少见的中毒种类,多见于误食或人为造成,其所致的中毒事件已成为严重的社会问题。因急性铊中毒病史隐匿,早期临床症状不典型,容易误诊误治,影响患者治疗及预后。尽早进行毒物检测或毒物鉴别,及时准确地给予血液净化或普鲁士蓝及相关对症支持治疗后,绝大部分急性铊中毒患者都能康复治愈。为了正确、及时诊治该疾病,中国毒理学会中毒与救治专业委员会和中华医学会急诊医学分会中毒学组联合全军中毒救治中心,组织全国一线相关领域专家,对急性铊中毒患者的诊断及治疗措施进行分析、探讨、总结,制定了《中国急性铊中毒诊断与治疗专家共识(2021)》。Acute thallium poisoning is relatively rare,which usually caused by eating by mistake or poisoning.This kind of poisoning attracts social attention.Its atypical clinical symptoms can result in misdiagnosis,mistreatment and poor prognosis.Most patients with acute thallium poisoning can be cured after early toxicological examination,timely blood purification or Prussian blue and symptomatic treatment.To diagnose and treat the disease correctly and timely,the Chinese Society of Toxicology Poisoning and Treatment of Specialized Committee and the Poisoning Group of Emergency Medicine Branch of Chinese Medical Association,together with the Poisoning Treatment Center of the Army,invited experts in the field of acute thallium poisoning to analyze,discuss and summarize the diagnosis and treatment to formulate the Chinese expert consensus on diagnosis and treatment of acute thallium poisoning(2021).

关 键 词：急性铊中毒 血液净化 普鲁士蓝 专家共识 

分 类 号：R595[医药卫生—内科学]