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ACUTE AND CHRONIC BARBITURATE INTOXICATION—Recent Advances in Therapeutic Management

机译:急性和慢性中毒加重—治疗管理的最新进展

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摘要

The increase of addiction to barbiturates and in the number of deaths from overdoses constitutes a growing and serious health problem.Although the symptoms of both acute and chronic barbiturate intoxication resemble those of other drug intoxications, correct diagnosis can be made through an accurate history, a physical examination and the finding of increased nonprotein nitrogen in the blood and of a characteristic fast pattern in an electroencephalogram.Metrazol® and electrostimulation, with adjuvant therapy, are discussed as the most advantageous methods of treating acute barbiturate intoxication; the addition of emetics to barbiturates to prevent overdosage is considered.Carefully controlled withdrawal and psychiatric rehabilitation are necessary to treatment of addiction, but as patients are usually uncooperative the prognosis is poor.
机译:巴比妥类药物成瘾的增加以及过量用药导致的死亡人数构成了一个日益严重的健康问题。尽管急性和慢性巴比妥类药物中毒的症状与其他药物中毒相似,但可以通过准确的病史做出正确的诊断,体格检查以及发现血液中非蛋白质氮的增加以及脑电图中特征性快速模式的发现。Metrazol®和电刺激以及辅助治疗被讨论为治疗急性巴比妥酸盐中毒的最有利方法;为防止成瘾,必须谨慎控制戒断和精神病康复治疗,但由于患者通常不合作,预后较差。

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