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Drug-Induced Hyperthermic Syndromes Part I. Hyperthermia in Overdose
被引:14
|作者:
Hayes, Bryan D.
[1
,2
]
Martinez, Joseph P.
[1
]
Barrueto, Fermin, Jr.
[1
,3
]
机构:
[1] Univ Maryland, Dept Emergency Med, Sch Med, Baltimore, MD 21201 USA
[2] Univ Maryland, Dept Pharm, Med Ctr, Baltimore, MD 21201 USA
[3] Upper Chesapeake Hlth Syst, Dept Emergency Med, Bel Air, MD 21015 USA
关键词:
Hyperthermia;
Thermoregulatory system;
Hypermetabolism;
Sympathomimetics;
Cocaine;
Methlenedioxymethamphetamine;
Anticholinergics;
Salicylates;
BLOOD-BRAIN-BARRIER;
SALICYLATE INTOXICATION;
DINITROPHENOL;
STRYCHNINE;
PHYSOSTIGMINE;
TEMPERATURE;
COCAINE;
RECOGNITION;
MECHANISMS;
HEATSTROKE;
D O I:
10.1016/j.emc.2013.07.004
中图分类号:
R4 [临床医学];
学科分类号:
1002 ;
100602 ;
摘要:
Drugs and natural compounds that affect the thermoregulatory system can induce or contribute to hyperthermia when used in excess. Hyperthermia associated with drug overdose is dangerous and potentially lethal. This article reviews the body's process of maintaining thermodynamic equilibrium, and describes the mechanisms by which it is influenced by sympathomimetic and anticholinergic drugs, salicylates, and thyroid replacement medications. Appropriate treatment strategies such as cooling and the administration of counteractive medications are discussed.
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页码:1019 / +
页数:16
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