甲醇与乙二醇中毒选编.docx

甲醇与乙二醇中毒  HYPERLINK /contents/zh-Hans/methanol-and-ethylene-glycol-poisoning/contributors Authors HYPERLINK /contents/zh-Hans/methanol-and-ethylene-glycol-poisoning/contributors Marco L A Sivilotti, MD, MSc, FRCPC, FACEP, FACMT HYPERLINK /contents/zh-Hans/methanol-and-ethylene-glycol-poisoning/contributors James F Winchester, MD  HYPERLINK /contents/zh-Hans/methanol-and-ethylene-glycol-poisoning/contributors Section Editors HYPERLINK /contents/zh-Hans/methanol-and-ethylene-glycol-poisoning/contributors Stephen J Traub, MD HYPERLINK /contents/zh-Hans/methanol-and-ethylene-glycol-poisoning/contributors Michele M Burns, MD, MPH  HYPERLINK /contents/zh-Hans/methanol-and-ethylene-glycol-poisoning/contributors Deputy Editor HYPERLINK /contents/zh-Hans/methanol-and-ethylene-glycol-poisoning/contributors Jonathan Grayzel, MD, FAAEM  HYPERLINK /contents/zh-Hans/methanol-and-ethylene-glycol-poisoning/contributors 翻译 HYPERLINK /contents/zh-Hans/methanol-and-ethylene-glycol-poisoning/contributors 王威, 副主任医师  HYPERLINK /contents/zh-Hans/methanol-and-ethylene-glycol-poisoning/contributor-disclosure Contributor disclosures 我们的所有专题都会依据新发表的证据和 HYPERLINK /%E7%BC%96%E8%BE%91%E5%8E%9F%E5%88%99 \t _blank 同行评议过程而更新。 文献评审有效期至：?2016-07 .?|?专题最后更新日期：?2015-09-21. There is a newer version of this topic available in? HYPERLINK /contents/methanol-and-ethylene-glycol-poisoning?source=Out+of+date+-+zh-Hanssearch=%E4%B9%99%E4%BA%8C%E9%86%87selectedTitle=3%7E26 English. 该主题有一个新的? HYPERLINK /contents/methanol-and-ethylene-glycol-poisoning?source=Out+of+date+-+zh-Hanssearch=%E4%B9%99%E4%BA%8C%E9%86%87selectedTitle=3%7E26 英文版本。 引言?—?美国每年都会发生几十起甲醇和乙二醇引起的致命性中毒事件，即使这两种醇的摄入量较少也可引起显著毒性。迅速诊断和及早期治疗至关重要，包括使用醇脱氢酶(alcohol dehydrogenase, ADH)进行抑制。表中总结了有助于紧急处理的事项( HYPERLINK /contents/zh-Hans/image?imageKey=EM%2F66916topicKey=EM%2F336rank=3%7E26source=see_linksearch=%E4%B9%99%E4%BA%8C%E9%86%87 表 1)。 汽车防冻剂和除冰剂、挡风玻璃清洗液、溶剂、清洁剂、燃料以及其他工业品中通常含有高浓度甲醇和乙二醇。大多数严重中毒都由经口摄入引起，吸