2023年美国心脏协会中毒所致心脏骤停及心脏危重症管理指南解读(一):神经系统毒性物质中毒的管理  

Interpretation of 2023 American Heart Association guideline for the management of patients with cardiac arrest or life-threatening toxicity due to poisoning(Ⅰ):management of neurotoxic substances poisoning

作　　者：向昕杰 褚莉莉 姚鹏[1,2] 谢旭欣 李颖怡 彭爱华 曹钰 XIANG Xinjie;CHU Lili;YAO Peng;XIE Xuxin;LI Yingyi;PENG Aihua;CAO Yu(Department of Emergency Medicine and Laboratory of Emergency Medicine,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Disaster Medical Center,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院急诊科/急诊医学研究室,成都610041 [2]四川大学灾难医学中心,成都610041

出　　处：《华西医学》2023年第11期1616-1624,共9页West China Medical Journal

基　　金：成都市科技项目(2022-YF09-00021-SN);中国博士后科学基金(2023M732462)。

摘　　要：中毒是急诊科患者常见的就诊原因,严重者可出现严重心脏疾病或心脏骤停。美国心脏协会于2023年9月18日在Circulation杂志发表了中毒导致心脏骤停及心脏危重症患者的临床管理指南。该文结合文献对指南中神经系统毒性物质中毒相关的建议进行解读,主要涉及苯二氮?类药物、阿片类物质、可卡因、局部麻醉药和拟交感神经物质中毒的临床管理。作者通过详细解读指南的推荐要点,以期对同行的诊疗有所帮助。Poisoning is a frequent reason for patients to seek emergency medical attention,and in severe cases,it can result in severe cardiac disease or cardiac arrest.American Heart Association published the guideline for the management of patients with cardiac arrest or life-threatening toxicity due to poisoning in Circulation on September 18,2023.Based on the literature,this article interprets the suggestions related to neurotoxic substances in this guideline,mainly involving the clinical management of benzodiazepines,opioids,cocaine,local anesthetics,and sympathomimetic substances poisoning.By interpreting the recommended points of the guide in detail,it is hoped that it will be helpful for the diagnosis and treatment of readers.

关 键 词：指南 中毒 心脏骤停 复苏 体外膜肺氧合 

分 类 号：R595[医药卫生—内科学]