简易血液灌流在突发急性重症中毒事件救治中的应用(附58例分析)

Utilization of facilitated hemoperfusion to rescue 58 cases of acute severe intoxation

目的探讨简易血液灌流在突发急性重症中毒事件救治中的应用价值,提高急性中毒急救成功率。方法对58例重度急性中毒患者,在基础治疗的同时,采用单纯血泵、血透穿刺针、血透动静脉管路建立体外循环,用HA230型树脂血液灌流器,进行床边简易血液灌流。结果28例中毒患者病情稳定留在原医院继续治疗,病情稳定后向有条件的医院转诊深化治疗26例,现场抢救无效死亡4例。最终抢救存活52人,死亡6人,抢救成功率89.66%。结论血液灌流是临床上极为有效的急性中毒的救治方式,对于重症毒物中毒的现场急救,简易血液灌流可迅速在病人床边实施,有着广泛的推广及应用价值。

Objective To explore the clinical value of facilitated hemoperfusion in acute severe intoxation in sudden public health events and improve rescue achievement ratio. Methods Based on convenient treatment regiment, HA230 absorption resin hemoperfusion apparatus, single blood pump, transfixion pin and artcrio-vein channel to set up extracorporeal circulation in 58 patients in acute severe intoxation in sudden public health events from 2005 to 2007. Results Twenty-eight patients whose pathogenetic condition improved and continued treatment in original hospitals. Twenty-six patients stabilized and were transported to superior hospitals for intensive treatment. At last,fifty-two patients survived and six patients died. Conclusion Hemoperfusion is a very efficacious remedy to acute severe intoxication. Facilitated hemoperfusion can be quickly applied to rescue acute severe intoxation patients in field first aid andin bedside, and worth extensively spreading and application.