45例急性乌头碱中毒的临床表现和救治分析

Analysis of Clinical Manifestations and Treatment of 45 Cases of Acute Aconitine Poisoning

目的:探讨急性乌头碱中毒的临床表现和有效的临床救治措施,以减少病死率,最大程度地挽救患者生命。方法:采用回顾性分析的方法,对2014年10月-2016年10月本院诊治的45例急性乌头碱中毒患者的临床诊疗资料进行分析总结。结果:45例患者中,治愈43例,遗留后遗症1例,死亡1例,治愈率为95.56%。结论:急性乌头碱中毒患者的临床表现主要集中在心血管系统、消化系统、神经系统三大症候群。早期明确诊断,及时洗胃导泻减少毒物吸收,迅速有效纠正恶性心律失常,并注意补液,防止并发症等综合治疗措施可提高急性乌头碱中毒患者的成功率。

Objective:To investigate the clinical manifestations and effective clinical measures of treating the acute aconitine poisoning,to reduce the fatality rate and save the life of the patients extremely.Method:The clinical data of 45 patients with acute aconitine intoxication,which were treated in our hospital from October 2014 to October 2016,were analyzed and summarized by retrospective analysis.Result:In the 45 patients,43 were cured,1 was sequelae,and 1 died,the cure rate was 95.56%.Conclusion:The clinical manifestations of patients with acute aconitine poisoning are mainly concentrated in the three major syndromes of the cardiovascular system,digestive system and nervous system.Early diagnosis,timely gastric lavage and catharsis reduce toxin absorption,rapid and effective correction of cardiac arrhythmia,and rehydration,comprehensive measures of preventing treatment of complications of acute can improve the rate of rescue of aconitine poisoning patients.