摘要
目的观察血液净化对急性毒物、药物中毒的临床疗效。方法对44例急性毒物或药物中毒患者,在综合治疗基础上,早期即行血液灌流(HP)或血液灌流+血液透析(HD),每例治疗1～4次。结果治愈41例,死亡3例,治愈率93%;神志恢复时间平均为15.6±7.4小时,合并呼吸衰竭的存活者,呼吸抑制解除时间平均为10.4±3.7小时;肺水肿行血液透析者,肺部罗音消失时间明显短于未行血液透析者(P<0.01);3例合并海洛因成瘾者戒除了毒瘾。结论血液净化是抢救急性中毒的有效辅助治疗手段。
Objective To evaluate the effect of blood purification on acute poisoning.Methods 44 patients with acute poisoning were treated by blood purification besides of combined therapy. Both haemoperfusion and haemodialysis were applied to the patients according to the different toxicants they took and the complications after poisoning as soon as possible. Results 41(93%)patients were cured.They regained consciousness after 15.6±7.4 hours.Those who suffered from respiratory failure recovered after 10.4±3.7 hours.The effect of haemodialysis on pulmonary edema was obvious(P<0.01). 3 patients were dismissed from heroin addiction after haemodialysis. Conclusion Blood purification is an effective method for acute poisoning.
出处
《中国现代医药杂志》
2004年第4期19-20,共2页
Modern Medicine Journal of China
