血浆置换联合普鲁士蓝治疗铊中毒1例分析及文献复习

Plasma exchange in combination with Prussian blue in the therapy of one case of thallium poisoning and literature review

近年随着铊中毒事件的频繁发生,引起了社会的广泛关注。铊中毒目前尚无特效解毒剂,PB是临床上使用最多的驱排药物;血液净化亦被广泛应用,已有大量临床资料证实血液灌流,血液滤过、透析有一定疗效,但很少有PE联合PB疗效报道。现就我院收治的1例铊中毒给予PE联合PB成功救治情况报告如下。1病例资料患者,女,42岁,主因＂腹痛44d,脱发30d,意识障碍13d＂于2015-01-09入院。

Observing the changes of blood and urine concentration of thallium and clinical manifestations of the thallium poisoning patient treated with plasma exchange（PE）combined with Prussian blue（PB）.The changes including：obvious side effects,the effect of combining PE with PB in the treatment of thallium poisoning,and the worth of popularization and application.