论文部分内容阅读
目的:观察在常规治疗的基础上,血液净化治疗重症阿维菌素中毒的疗效。方法:9例重症阿维菌素中毒患者,给予洗胃、导泻、利尿、呼吸机辅助呼吸及保护重要脏器治疗的同时,应用血液灌流、血液滤过等血液净化方法治疗,观察患者的临床表现、实验室指标、住院时间和治愈率。结果:9例患者均治愈出院,住院天数在7～25d之间,多数患者在2～7d之间临床症状改善,脱离呼吸机,出院时神志清楚,呼吸平稳,复查肝肾功能、胆碱酯酶、心肌酶谱、动脉血气、CRP正常,胸片提示肺纹理正常,心电图无心率失常表现。结论:血液净化能够使患者的临床症状改善,实验室指标好转,治愈率提高,是治疗重症阿维菌素中毒的有效手段。
Objective: To observe the curative effect of blood purification on severe avermectin poisoning on the basis of routine treatment. Methods: Nine patients with severe avermectin poisoning were given gastric lavage, cathartic, diuretic, ventilator assisted breathing and the protection of vital organs. At the same time, hemoperfusion and hemofiltration were used to treat the patients. Clinical manifestations, laboratory parameters, length of stay and cure rates. Results: All the 9 patients were cured and discharged from hospital. The days of hospitalization were between 7 and 25 days. The clinical symptoms of most patients were improved between 2 and 7 days. They were separated from the ventilator. Their consciousness of discharge was clear and their breathing was steady. Enzymes, myocardial enzymes, arterial blood gas, CRP normal, chest X-ray showed normal lung function, ECG showed no heart rate disorders. Conclusion: Blood purification can improve the clinical symptoms of patients, improve the laboratory indicators, the cure rate increased, is an effective means of treatment of severe avermectin poisoning.