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揭露局部酸盐系统毒性的隐藏风险
Neelou Tabatabai1, Swetaleena Dash1,2, James A Chenoweth1,2
1University of California, Davis, School of Medicine, Department of Emergency Medicine, Sacramento, California.
在许多止痛产品中发现的局部酸盐可以引起全身毒性,即使在新生儿身上也是如此. 识别快速呼吸和吐等症状对于及时治疗和预防不良结果至关重要.
科学领域:
- 药理学 药理学是指药理学的学科.
- 毒理学 毒理学 毒理学
- 皮肤病学 皮肤病学
背景情况:
- 局部酸盐是广泛可用的OTC治疗疼痛和皮肤疾病的药物.
- 尽管具有一般的安全性,但在特定情况下,系统性毒性可能会发生.
- 本综述系统地检查了与局部酸盐使用相关的风险.
研究的目的:
- 审查和分析局部酸盐对系统有毒性的病例.
- 突出临床表现,风险和管理策略.
- 将发现与一个新的案例介绍联系起来.
主要方法:
- 使用多个数据库进行了系统的文献搜索 (1952-2024年).
- 之前的研究被交叉引用以确定相关的案例.
- 对44个确诊病例进行了描述性分析.
主要成果:
- 分析了44例局部酸盐毒性病例,涵盖所有年龄组,包括新生儿.
- 常见的症状包括短睡 (32.5%) 和吐 (25.5%).
- 索引病例涉及一名精神状态变化和代谢性酸性疾病的老年男性.
结论:
- 局部酸盐在不同患者群体中构成系统性风险.
- 临床医生应怀疑在患有不明原因改变精神或代谢状态的患者中存在酸盐毒性.
- 早期识别和干预对于有利的结果至关重要,以及对安全使用的患者教育.
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