沙特阿拉伯子中毒的严重程度:系统审查
Mohammed Alhelail1,2,3, Areej Albelali2,3,4, Raghad Alkanhal1,2,3
1Emergency Medicine Department, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia.
Toxicology reports
|October 11, 2024
概括
这份系统性审查分析了沙特阿拉伯的子刺,并使用阿布鲁格尺度对严重程度进行了分类. 结果突出了常见的局部症状,严重的系统性影响,以及在子伤管理中需要标准化的分类.
科学领域:
- 毒理学 毒理学 毒理学
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
背景情况:
- 沙特阿拉伯记录了子刺伤的高发病率,五年来有超过72,000例.
- 现有的文献缺乏系统性审查,使用标准化尺度对子的严重程度进行分类.
- 了解子中毒的严重程度对于有效的患者管理至关重要.
研究的目的:
- 系统地审查和分类沙特阿拉伯子中毒的迹象和症状.
- 应用Abroug的严重程度尺度来对子刺伤受害者进行分级.
- 确定与子刺相关的风险因素和临床结果.
主要方法:
- 1953年至2024年间发表的49篇关于沙特阿拉伯子刺伤的文章的系统审查.
- 文章根据预先定义的标准进行了选择,并由多学科的医生和毒理学家团队进行了审查.
- 使用PubMed,EMBASE,Scopus,Web of Science和CINAHL进行了特定关键字和MeSH术语的搜索.
主要成果:
- 20-52%的受害者没有症状;47.4-100%的受害者经历了I级局部表现 (疼痛,红血,胀).
- 在15项研究中出现了II类系统性症状 (高血压,心动减速);III类涉及严重的神经和心脏呼吸系统并发症.
- 16,745名受害者需要住院治疗;报告有15例死亡,儿童和患有先前疾病的人面临更严重的危险.
结论:
- 建议使用Abroug尺度进行标准化分类,以对子的严重程度进行分级.
- 临床医生必须识别肺,心脏毒性和心肌炎的早期预警信号.
- 虽然电解质失衡和出血也可能发生,但它们通常是可以控制的.
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