Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
1486 21 |
Ultima descărcare din IBN: 2024-03-02 02:58 |
SM ISO690:2012 BARB, Ioan, DOBROTA, Liana, NEAMTU, M. Algoritm de diagnostic şi tratament în intoxicaţiile cu ciuperci. In: Curierul Medical, 2010, nr. 3(315), pp. 30-34. ISSN 1875-0666. |
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Curierul Medical | ||||||
Numărul 3(315) / 2010 / ISSN 1875-0666 | ||||||
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Algorithm for Diagnosis and Treatment of Mushroom Poisoning
Since information about natural exposures is often insufficient and incorrect, a new syndromic classification of mushroom poisoning is
recommended to guide clinicians in making earlier diagnoses – especially in cases where only advanced critical care, including liver transplantation,
may be life saving. In 2005, Diaz proposed a classification system based on presentation timing and target organ systemic toxicity (14 major
syndromes, 4 new syndromes). The diagnosis is based on clinical evaluation and urinary amatoxin evaluation. The treatment objectives are: to
prevent absorption of the toxin from the gastrointestinal tract and to promote elimination from the systemic circulation (primary and secondary
detoxification); regarding amatoxin poisoning, to lower the serum concentration of amanitin as soon as possible and thereby shorten the period
of time that hepatocytes and renal tubular cells are exposed (extracorporeal detoxification and liver transplant). |
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Cuvinte-cheie mushroom poisoning, Diagnosis, treatment, syndromic classification |
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