毒和中毒的认识及启示
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1.中国疾病预防控制中心职业卫生与中毒控制所;2.中国疾病预防控制中心性病艾滋病预防控制中心

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Epistemology and enlightenment of poison and poisoning
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1.National Institute of Occupational Health and Poisoning Control, China CDC;2.National Center for AIDS/STD Control and Prevention, China CDC

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    摘要:

    毒和中毒是医学中的一对重要概念。然而对其进行定义却存在较大的困难,困难的原因在于,毒物本身并不具有区别于非毒物的本质。通过剂量确定的毒性并不是一种种差,而是存在于毒物与主体之间的关系,脱离中毒单独定义毒物是没有意义的。毒物和中毒作为病因和疾病的解释曾发挥过非常重要的作用,随着医学的发展,这种解释被病理解剖、细胞病理学以及细菌学说等理论部分取代,但作为一种备选假设,中毒作为疾病、毒物作为病因的假设是仍然需要保留。

    Abstract:

    Poison and poisoning are important concepts in medicine. However, there is great difficulty to define it, the difficulty is that the poison itself does not have the essence different from the non-poison. Toxicity determined by dose is not a species difference, but exists in the relationship between the poison and the subject, and it makes no sense to escape from the poison alone to define the poison. Poison and poisoning have played a very important role as explanations of etiology and disease, and as medicine develops, this explanation is partially replaced by theories such as pathology anatomy, cytopathology and bacteriological theory, but as an alternative hypothesis, poisoning as disease and toxicant as etiology is still need to be retained.

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  • 收稿日期:2022-03-03
  • 最后修改日期:2022-03-24
  • 录用日期:2022-04-25
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