毒理学筛检在急救医学中的作用

The role of toxicological screening in emergency medicine

对２４４例急诊患者进行了毒理学筛检，其中已知药物中毒６４例，可疑药物中毒１４１例，昏迷查因３９例。结果可疑药物中毒者中阳性１１４例（８０．８％），昏迷查因者中阳性２０例（５１．３％）。引起中毒的药物以苯二氮类最多见，可能与入院的选择性偏倚有关。这些结果说明毒理学筛检在急救医学中有重要作用，为临床诊断和鉴别诊断及设计有效的抢救方案提供了科学依据。

A three-year retrospective analysis on toxicological screening in 244 admitted emergency patients was performed in the study.Among them,64 cases were drug(chemical)poisoning,141 cases were suspected drug(chemical)poisoning,39 cases were coma of unknown cause. The screening results showed that 114 were positive in 141 suspected poisoning patients(80.8%),and 20 were positive in 39 coma patients(51.3%)respectively.Benzodiazepines was the major cause(over 60%)in the positive drugs, It was suggested that toxicologic screening seems play an important role in emergency medicine,it can provide a scientific basis for diagnosis diferential diagnosis of chemicals poisoning or coma.