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目的观察血液灌流治疗急性百草枯中毒临床疗效。方法对48例急性百草枯中毒患者采取常规治疗措施的基础上,结合其是否采取急诊血液灌流治疗方法分成治疗组与对照组,然后观察对比两组的临床疗效。结果患者口服摄入量在20 ml以下疗效均好;摄入量在20~50 ml者,治疗组在急性中毒6h内行血液灌流疗效最好,死亡率明显低于对照组,摄入剂量超过50 ml者,治疗效果均差。结论急性百草枯中毒患者早期行血液灌流治疗可明显提高生存率及减少致残率。
Objective To observe the clinical effect of hemoperfusion on acute paraquat poisoning. Methods 48 cases of acute paraquat poisoning patients on the basis of conventional treatment measures, combined with whether they take emergency hemoperfusion treatment into the treatment group and the control group, and then observed and compared the clinical efficacy of the two groups. Results In patients with oral intake of 20 ml or less the effect is good; intake of 20 ~ 50 ml, the treatment group acute hemorrhage 6h within the best hemoperfusion, mortality was significantly lower than the control group, the intake of more than 50 ml, the treatment effect is poor. Conclusion Acute paraquat poisoning in patients with early hemoperfusion treatment can significantly improve the survival rate and reduce morbidity.