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目的:评价血液净化治疗在毒蕈中毒抢救中治疗效果。方法:分析19例毒蕈中毒的临床表现、实验室检查、探讨治疗时机及血液净化治疗对预后的影响。结果:经过综合治疗加血液净化治疗,8例治愈、4例死亡,死亡原因多器官功能衰竭。结论:无特效治疗的情况下,早期进行血透(PE)加血液灌流(HP),出现严重肝脏损害的联合持续性静脉-静脉血液滤过(CVVH)。血液净化治疗对抢救毒蕈中毒有肯定效果。
Objective: To evaluate the efficacy of blood purification in the treatment of poisoned mushroom poisoning. Methods: The clinical manifestations and laboratory tests of 19 cases of poisonous mushroom poisoning were analyzed to investigate the timing of the treatment and the effect of blood purification treatment on the prognosis. Results: After comprehensive treatment and blood purification treatment, 8 cases were cured, 4 died and the cause of death was multiple organ failure. CONCLUSIONS: In the absence of any specific treatment, early hemodialysis (PE) plus hemoperfusion (HP) results in a combination of persistent venous-venous hemofiltration (CVVH) with severe liver damage. Blood purification treatment to rescue mushroom poisoning have a positive effect.