Toxidromes

被引:55
作者
Holstege, Christopher P. [1 ,2 ]
Borek, Heather A. [1 ]
机构
[1] Univ Virginia, Univ Virginia Hlth Syst, Blue Ridge Poison Ctr, Div Med Toxicol,Dept Emergency Med,Sch Med, Charlottesville, VA 22908 USA
[2] Univ Virginia, Univ Virginia Hlth Syst, Blue Ridge Poison Ctr, Div Med Toxicol,Dept Pediat,Sch Med, Charlottesville, VA 22908 USA
关键词
Toxidrome; Syndrome; Poisoning; Toxicology; TORSADES-DE-POINTES; TRICYCLIC ANTIDEPRESSANT INGESTION; SUSPECTED DRUG OVERDOSE; BUNDLE-BRANCH-BLOCK; SERUM OSMOL GAP; QT INTERVAL; COMPLEX TACHYCARDIA; SODIUM-BICARBONATE; SEROTONIN TOXICITY; POISONED PATIENT;
D O I
10.1016/j.ccc.2012.07.008
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The critical care physician is often called to care for poisoned patients. This article reviews the general approach to the poisoned patient, specifically focusing on the utility of the toxidrome. A toxidrome is a constellation of findings, either from the physical examination or from ancillary testing, which may result from any poison. There are numerous toxidromes defined in the medical literature. This article focuses on the more common toxidromes described in clinical toxicology. Although these toxidromes can aid the clinician in narrowing the differential diagnosis, care must be exercised to realize the exceptions and limitations associated with each.
引用
收藏
页码:479 / +
页数:21
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