血液灌流治疗急性中毒55例临床分析

Clinical analysis of blood flow in the treatment of acute poisoning for 55 cases

目的：探讨采用血液灌流治疗急性中毒的临床疗效。方法：分析我院2008年5月~2010年8月收治的55例急性中毒患者的临床资料,对比患者在采用血液灌流治疗前后生化指标的差异,使用血液灌流抢救急性中毒患者的疗效。结果：55例患者中,治愈45例,治愈率为81.82%,死亡患者10例,所有患者未出现中毒反跳现象。治疗前后生化指标差异明显（P〈0.05）。结论：对于急性重度中毒的患者早期进行血液灌流,可有效提高抢救的成功率。

Objective：To study the clinical efficacy of blood perfusion（HP） in the treatment of acute poisoning.Methods：From May 2008 to August 2010 in our hospital,the clinical data of 55 patients with acute poisoning were admitted,the difference of biochemical indicators of blood perfusion before and after treatment of direct bilirubin（DBIL）,indirect bilirubin（IBIL）,alanine aminotransferase（ALT）,aspartate aminotransferase（AST）,lactate dehydrogenase（LDH）,creatine kinase（CK） were compared,and to explore the efficacy of hemoperfusion in acute poisoning of patients.Results：Among 55 patients,45 patients were cured,the cure rate was 81.82%,10 patients died,all patients had no toxicity against jumps.Biochemical differences before and after treatment were significant（P0.05）.Conclusion：For patients with acute severe poisoning blood perfusion early stage can effectively improve the success rate of rescue.