百草枯中毒的预后与相关临床因素探讨

The discuss of prognosis and relevant clinical elements of paraquat poisoning.

目的探讨影响百草枯中毒的预后因素,寻找合理的有效救治方案。方法对83例口服百草枯中毒患者的临床资料进行回顾性分析。结果存活28例,死亡55例,病死率66.3%。服毒量、并发症、血液灌流时间等临床因素,对患者的病死率均有影响。结论百草枯中毒病死率极高,服毒量、并发症、心肌酶谱及救治措施等,是影响患者预后的主要因素;尽早使用白陶土、早期行血液灌流等综合救治措施,可明显降低病死率。

Objective Discuss the relevant clinical elements of paraquat poisoning,and search for reasonable and effective cure proposal.MethodsTo look back and analyse the clinical material of 83 patients poisoned by paraquat per os.Results28 of the patients are alive,and 55 are dead.The death rate is 66.3%.The amount of poison,complications,time of hemoperfusion and so on,have an impact on the death rate of patients.ConclusionThe death rate of paraquat poisoning is high.The amount of poison,complications,the levels of myocardial enzymogram and cure measures are the main affecting elements of prognosis.Cure measures such as using bolusalba and hemoperfusion as soon as possible,can lower the death rate obviously.