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脂肪乳在药物中毒解救中的应用研究

Progress in lipid emulsions as antidotes to reverse drug poisoning

  • 摘要: 脂肪乳因安全性高、适用范围广和起效时间短,在药物中毒解救领域具有广阔的应用前景。本文从部分临床病例报告出发,分析了脂肪乳在局麻类、抗心律失常类、精神类和有机磷酸酯类等多种药物中毒解救中的效果及脂肪乳可能带来的不良反应。同时对脂肪乳的解毒机制:如脂质池理论、机体代谢增强理论和强心作用等,进行了充分阐释。最后对脂肪乳疗法存在的问题提出了可能的解决方案,以期能加深对脂肪乳解毒疗法的了解,促进其在药物中毒临床解救中的合理应用。

     

    Abstract: Due to their good safety, wide application scope and quick onset time, lipid emulsions are full of promise to reverse drug poisoning. In this review, a number of clinical case reports were summarized to analyze the detoxification effect of lipid emulsions on local anesthetic, antiarrhythmic, psychotropic and organophosphate poisoning, as well as the possible adverse reactions of lipid emulsions therapy.Meanwhile, the mechanisms underlying lipid emulsions therapy, such as lipid sink theory, enhanced body basal metabolism and positively affected cardiovascular function, were fully interpreted.Besides, a few potential solutions to the problems still existing in lipid emulsions therapy were proposed, in order to consolidate the understanding of lipid emulsions therapy and promote its rational application in reversing drug poisoning.

     

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