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急性药物中毒63例循证护理体会 被引量:2
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作者 陈志敏 《蚌埠医学院学报》 CAS 2011年第8期914-915,共2页
目的:探讨急性药物中毒患者实施循证护理效果。方法:对63例急性药物中毒的患者实施循证护理,提出护理问题,找出理论依据及循证支持,对中毒患者通过催吐、洗胃、导泻、利尿,以减少毒物的吸收,加速毒物的排泄,实施有效地护理干预。结果:6... 目的:探讨急性药物中毒患者实施循证护理效果。方法:对63例急性药物中毒的患者实施循证护理,提出护理问题,找出理论依据及循证支持,对中毒患者通过催吐、洗胃、导泻、利尿,以减少毒物的吸收,加速毒物的排泄,实施有效地护理干预。结果:63例患者中除1例极重症死亡外,余基本康复出院。结论:对急性药物中毒患者实施循证护理,可提高抢救成功率,减少并发症,缩短住院天数。 展开更多
关键词 药物/中毒 循证护理
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血液灌注抢救急性药物中毒15例疗效观察
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作者 袁红丽 《蚌埠医学院学报》 CAS 2003年第5期444-445,共2页
关键词 药物/中毒 血液灌注 疗效
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药物中毒性周围神经病电生理随访研究38例
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作者 吴保凡 《菏泽医学专科学校学报》 2000年第3期16-17,共2页
目的 研究药物中毒性周围神经病的神经电生理特点 ,为临床早期诊断及判断预后提供依据。方法 对确诊的病人进行初发时、3个月、9个月、2年的随访肌电图分析。结果 感觉传导速度 (SCV)减慢及运动终末潜伏期 (ML)延长是该类病人早期最... 目的 研究药物中毒性周围神经病的神经电生理特点 ,为临床早期诊断及判断预后提供依据。方法 对确诊的病人进行初发时、3个月、9个月、2年的随访肌电图分析。结果 感觉传导速度 (SCV)减慢及运动终末潜伏期 (ML)延长是该类病人早期最典型的表现 ;经过积极治疗 ,该类病人 2年内多能痊愈。 展开更多
关键词 药物/中毒 周围神经病/病因学 肌电图/诊断应用 周围神经病/诊断
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儿童氟乙酰胺中毒56例临床分析 被引量:1
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作者 张文娟 时庆康 孙勇 《蚌埠医学院学报》 CAS 2003年第4期339-340,共2页
目的 :了解儿童氟乙酰胺中毒的发病特点及防治措施。方法 :对 1993~ 2 0 0 2年治疗的氟乙酰胺中毒患儿 5 6例的临床资料进行分析。结果 :患儿大多为学龄前儿童 ,且以农村患儿居多 ;本组治愈 4 4例 ,好转 10例 ,死亡 2例。结论 :对氟乙... 目的 :了解儿童氟乙酰胺中毒的发病特点及防治措施。方法 :对 1993~ 2 0 0 2年治疗的氟乙酰胺中毒患儿 5 6例的临床资料进行分析。结果 :患儿大多为学龄前儿童 ,且以农村患儿居多 ;本组治愈 4 4例 ,好转 10例 ,死亡 2例。结论 :对氟乙酰胺要严加管理 ,对学龄前儿童要严加监护 ,对可疑氟乙酰胺中毒者 ,要争分夺秒进行抢救 ,尽早、足量、足程使用特效解毒剂。 展开更多
关键词 药物/中毒 氟乙酰胺 儿童 住院
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纳洛酮抢救小儿复方苯乙哌啶中毒24例分析 被引量:5
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作者 焦善龙 《蚌埠医学院学报》 CAS 2006年第5期554-555,共2页
目的:探讨纳洛酮抢救小儿复方苯乙哌啶中毒的疗效。方法:对24例小儿复方苯乙哌啶中毒的患儿,在综合治疗的基础上,均静脉应用纳洛酮。结果:除l例患儿(家长要求)到上级医院检验血药浓度,其余均获救,好转6例,痊愈17例。结论:纳络酮是抢救... 目的:探讨纳洛酮抢救小儿复方苯乙哌啶中毒的疗效。方法:对24例小儿复方苯乙哌啶中毒的患儿,在综合治疗的基础上,均静脉应用纳洛酮。结果:除l例患儿(家长要求)到上级医院检验血药浓度,其余均获救,好转6例,痊愈17例。结论:纳络酮是抢救小儿复方苯乙哌啶中毒的有效药物。 展开更多
关键词 药物/中毒 复方苯乙哌啶 纳洛酮
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儿童急性毒鼠强中毒16例救治分析 被引量:1
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作者 孙素欣 赵敏 《蚌埠医学院学报》 CAS 2005年第2期154-155,共2页
目的 :观察儿童急性毒鼠强中毒 (ATI)的临床表现 ,并探讨其救治方法。方法 :对诊断明确的 16例患儿采取综合抢救措施。结果 :16例中 15例获得满意疗效 ,自动出院 1例 ,无一例死亡。结论 :ATI除对中枢神经系统造成损害外 ,还可引起心、... 目的 :观察儿童急性毒鼠强中毒 (ATI)的临床表现 ,并探讨其救治方法。方法 :对诊断明确的 16例患儿采取综合抢救措施。结果 :16例中 15例获得满意疗效 ,自动出院 1例 ,无一例死亡。结论 :ATI除对中枢神经系统造成损害外 ,还可引起心、肝、肺、肾、胃、肠等多器官损害 ,有效地镇静、控制抽搐是治疗的关键 ,血液灌流能迅速降低血中毒物浓度 。 展开更多
关键词 药物/中毒 毒鼠强 儿童
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硫化氢中毒引起迟发性心肌损伤1例
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作者 王美华 谈剑诚 张大东 《蚌埠医学院学报》 CAS 2007年第3期348-348,共1页
关键词 药物/中毒 心肌损伤 硫化氢
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急诊床边血液灌流抢救重度毒(药)物中毒的护理
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作者 周利文 胡庆亚 《现代实用医学》 2009年第4期416-,共1页
总结18例重度毒(药)物重度患者的抢救与护理经验,采用床边血液灌流抢救各种药物、毒物中毒,严密观察病情变化,以缩短昏迷时间,加快患者清醒,降低死亡率。认为做好血液灌流强求重度患者的护理至关重要。
关键词 药物/中毒 血液灌注 护理
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纳洛酮治疗催眠镇静药中毒疗效观察 被引量:3
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作者 黄灿 《蚌埠医学院学报》 CAS 2005年第6期548-548,共1页
关键词 药物/中毒 催眠剂和镇静剂 纳洛酮
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纳洛酮治疗复方苯乙哌啶中毒10例 被引量:3
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作者 解霞 《淮海医药》 CAS 2007年第5期474-474,共1页
关键词 药物/中毒 纳洛酮 复方苯乙哌啶
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急性氟乙酰胺中毒39例急救体会
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作者 周跃林 《蚌埠医学院学报》 CAS 2003年第2期163-164,共2页
目的 :探讨急性氟乙酰胺中毒患者的救治。方法 :彻底洗胃 ,选用解氟灵、东莨菪碱、糖皮质激素等药物治疗 ,控制惊厥等对症、支持治疗。结果 :39例中 35例抢救成功 ,4例死亡 ,住院 4~ 14天。结论 :氟乙酰胺为神经性剧毒药物 ,及时、足... 目的 :探讨急性氟乙酰胺中毒患者的救治。方法 :彻底洗胃 ,选用解氟灵、东莨菪碱、糖皮质激素等药物治疗 ,控制惊厥等对症、支持治疗。结果 :39例中 35例抢救成功 ,4例死亡 ,住院 4~ 14天。结论 :氟乙酰胺为神经性剧毒药物 ,及时、足量、足疗程应用特效解毒剂及对症。 展开更多
关键词 药物/中毒 氟乙酰胺 儿童 住院 急救
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腹膜透析治疗急慢性肾功能衰竭及中毒(附43例报告)
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作者 张丽琴 《南昌大学学报(医学版)》 CAS 1988年第1期37-40,共4页
分析了用间歇腹膜透析(IPD)及不卧床腹膜透析(CAPD)等方法治疗急、慢性肾功能衰竭与中毒43例,计1300个透析日。急性肾衰及中毒患者10例,8例痊愈,2例死亡。慢性肾功能不全存活2年以上者11例;一年以上者8例;半年以上者11例;三个月以内者3... 分析了用间歇腹膜透析(IPD)及不卧床腹膜透析(CAPD)等方法治疗急、慢性肾功能衰竭与中毒43例,计1300个透析日。急性肾衰及中毒患者10例,8例痊愈,2例死亡。慢性肾功能不全存活2年以上者11例;一年以上者8例;半年以上者11例;三个月以内者3例。并讨论了有关问题。 展开更多
关键词 腹膜透析/方法 肾功能衰竭 急性/治疗 慢性/治疗 药物/中毒 中毒/治疗 病例报告
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马兜铃酸肾病研究进展 被引量:2
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作者 纵晓英 《蚌埠医学院学报》 CAS 2009年第1期83-85,共3页
关键词 肾疾病 药物/中毒 马兜铃酸 综述
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Hyperammonemia,brain edema and blood-brain barrier alterations in prehepatic portal hypertensive rats and paracetamol intoxication 被引量:5
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作者 Camila Scorticati Juan P.Prestifilippo +5 位作者 Francisco X.Eizayaga Salvador Romay MaríaA Fernández AbrahamLemberg Juan C.Perazzo José L.Castro 《World Journal of Gastroenterology》 SCIE CAS CSCD 2004年第9期1321-1324,共4页
AIM:To study the blood-brain barrier integrity,brain edema, animal behavior and ammonia plasma levels in prehepatic portal hypertensive rats with and without acute liver intoxication. METHODS:Adults male Wistar rats w... AIM:To study the blood-brain barrier integrity,brain edema, animal behavior and ammonia plasma levels in prehepatic portal hypertensive rats with and without acute liver intoxication. METHODS:Adults male Wistar rats were divided into four groups.Group Ⅰ:sham operation;Ⅱ:Prehepatic portal hypertension,produced by partial portal vein ligation;Ⅲ: Acetaminophen intoxication and Ⅳ:Prehepatic portal hypertension plus acetaminophen.Acetaminophen was administered to produce acute hepatic injury.Portal pressure,liver serum enzymes and ammonia plasma levels were determined.Brain cortex water content was registered and trypan blue was utilized to study blood brain barrier integrity.Reflexes and behavioral tests were recorded. RESULTS:Portal hypertension was significantly elevated in groups Ⅱ and Ⅳ.Uver enzymes and ammonia plasma levels were increased in groups Ⅱ,Ⅲ and Ⅳ.Prehepatic portal hypertension (group Ⅱ),acetaminophen intoxication (group Ⅲ) and both (group Ⅳ) had changes in the blood brain-barrier integrity (trypan blue) and hyperammonemia.Cortical edema was present in rats with acute hepatic injury in groups Ⅲ and Ⅳ.Behavioral test (rota rod) was altered in group Ⅳ. CONCLUSION:These results suggest the possibility of another pathway for cortical edema production because blood brain barrier was altered (vasogenic) and hyperammonemia was registered (oltotoxic).Group Ⅳ,with behavioral altered test,can be considered as a model for study at an early stage of portal-systemic encephalopathy. 展开更多
关键词 Acetaminophen Analgesics Non-Narcotic Animals Behavior Animal Blood-Brain Barrier Brain Edema Humans HYPERAMMONEMIA Hypertension Portal Liver Male RATS Rats Wistar
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Determination of Aconitine and its Metabolites in Animal Experiment by LC/ESI-MS^n 被引量:2
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作者 ForMaster‘sDegreeDuanMing-Yu Supervisor:Prof,ZHANGHong-gui +1 位作者 ZHONGDa-fang ZHANGHan-qi 《Journal of Chinese Pharmaceutical Sciences》 CAS 2003年第1期55-56,共2页
关键词 ACONITINE ACONITE METABOLITES LC/ESI MS n POISONING
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In vitro screening of traditionally used medicinal plants in China against Enteroviruses 被引量:13
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作者 Jin-Peng Guo Ji Pang Xin-Wei Wang Zhi-Qiang Shen Min Jin Jun-Wen Li 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第25期4078-4081,共4页
AIM: To search for new antiviral agents from traditional Chinese medicine, specifically anti-enterovirosuses agents. METHODS: The aqueous extracts (AE) of more than 100 traditionally used medicinal plants in China... AIM: To search for new antiviral agents from traditional Chinese medicine, specifically anti-enterovirosuses agents. METHODS: The aqueous extracts (AE) of more than 100 traditionally used medicinal plants in China were evaluated for their in vitro anti-Coxsackie virus B3 activities with a MTT-based colorimetric assay. RESULTS: The test for AE of 16 plants exhibited anti- Coxsackie virus B3 activities at different magnitudes of potency. They can inhibit three steps (inactivation, adsorption and replication) during the infection. Among the 16 plants, Sargentodoxa cuneata (Oliv.) Rehd. et Wils., Sophora tonkinensis Gapnep., Paeonia veitchii Lynch, Spatholobus suberectus Dunn. and Cyrtorniurn fortunei J, sm. also have activity against other enterovirus, including Coxsackie virus 135, Polio virus I, Echo virus 9 and Echo virus 29. Cell cytotoxic assay demonstrated that all tested AE had CC50 values higher than their EC50 values. CONCLUSION: The sixteen traditionally used medicinal plants in China possessed antMral activity, and some of them merit further investigations. 展开更多
关键词 Traditional used medicinal plant China Antiviral activity Enterovirus Sargentodoxa cuneata(O/iv) Reid. et. W/Is. Sophora tonkinensis Gapnep. Paeonia veitchii Lynch. Cyrtomium fortunei J. sm. Spatholobus suberectus Dunn
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Assessment of drug-induced hepatotoxicity in clinical practice: A challenge for gastroenterologists 被引量:18
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作者 Raúl J Andrade Mercedes Robles +3 位作者 Alejandra Fernández-Castaer Susana López-Ortega M Carmen López-Vega M Isabel Lucena 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第3期329-340,共12页
Currently, pharmaceutical preparations are serious contributors to liver disease; hepatotoxicity ranking as the most frequent cause for acute liver failure and post-commercialization regulatory decisions. The diagnosi... Currently, pharmaceutical preparations are serious contributors to liver disease; hepatotoxicity ranking as the most frequent cause for acute liver failure and post-commercialization regulatory decisions. The diagnosis of hepatotoxicity remains a difficult task because of the lack of reliable markers for use in general clinical practice. To incriminate any given drug in an episode of liver dysfunction is a step-by-step process that requires a high degree of suspicion, compatible chronology, awareness of the drug’s hepatotoxic potential, the exclusion of alternative causes of liver damage and the ability to detect the presence of subtle data that favors a toxic etiology. This process is time-consuming and the final result is frequently inaccurate. Diagnostic algorithms may add consistency to the diagnostic process by translating the suspicion into a quantitative score. Such scales are useful since they provide a framework that emphasizes the features that merit attention in cases of suspected hepatic adverse reaction as well. Current efforts in collecting bona fide cases of drug-induced hepatotoxicity will make refinements of existing scales feasible. It is now relatively easy to accommodate relevant data within the scoring system and to delete low-impact items. Efforts should also be directed toward the development of an abridged instrument for use in evaluating suspected drug-induced hepatotoxicity at the very beginning of the diagnosis and treatment process when clinical decisions need to be made. The instrument chosen would enable a confident diagnosis to be made on admission of the patient and treatment to be fine-tuned as further information is collected. 展开更多
关键词 Drug-induced hepatotoxicity Causality assessment Diagnostic algorithms Clinical scales
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Tissue toxicity induced by ionizing radiation to the normal intestine:Understanding the pathophysiological mechanisms to improve the medical management 被引量:1
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作者 MC Vozenin-Brotons 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第22期3031-3032,共2页
At the present time, more than one-half of all cancer patients are treated with radiation therapy. Despite a good therapeutic index, radiotherapy can disable normal tissue injury to normal tissues in long-term cancer ... At the present time, more than one-half of all cancer patients are treated with radiation therapy. Despite a good therapeutic index, radiotherapy can disable normal tissue injury to normal tissues in long-term cancer survivors.Thus, an important challenge to modern radiation therapy is to increase the tolerance of normal tissues, 展开更多
关键词 GASTROENTEROLOGY
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Defensive nature of Sargassum polycystum (Brown alga) against acetaminophen-induced toxic hepatitis in rats: Role of drug metabolizing microsomal enzyme system, tumor necrosis factor-a and fate of liver cell structural integrity 被引量:1
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作者 H Balaji raghavendran A Sathivel T Devaki 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第24期3829-3834,共6页
AIM: To assess the defensive nature of Sargassum polycystum (S. polycystum) (Brown alga) against acetaminophen (AAP)-induced changes in drug metabolizing microsomal enzyme system, tumor necrosis factor (TNF-α... AIM: To assess the defensive nature of Sargassum polycystum (S. polycystum) (Brown alga) against acetaminophen (AAP)-induced changes in drug metabolizing microsomal enzyme system, tumor necrosis factor (TNF-α) and fine structural features of the liver during toxic hepatitis in rats. METHODS: Male albino Wistar strain rats used for the study were randomly categorized into 4 groups. Group Ⅰ consisted of normal control rats fed with standard diet. Group II rats were administered with acetaminophen (800 mg/kg body weight, intraperitoneally). Group Ⅲ rats were pre-treated with S. polycystum extract alone. Group IV rats were orally pre-treated with S. polycystum extract (200 mg/kg body weight for 21 d) prior to acetaminophen induction (800 mg/kg body weight, intraperitoneally). Serum separated and liver was excised and microsomal fraction was isolated for assaying cytochrome P450, NADPH Cyt P450 reductase and bs. Serum TNF-α was detected using ELISA. Fine structural features of liver were examined by transmission electron microscopy. RESULTS: Rats intoxicated with acetaminophen showed considerable impairment in the activities of drug metabolizing microsomal enzymes, such as cytochrome P450, NADPH Cyt P450 reductase and bs when compared with the control rats. The rats intoxicated with acetaminophen also significantly triggered serum TNF-a when compared with the control rats. These severe alterations in the drug metabolizing enzymes were appreciably pretreated with S. polycystum. prevented in the rats The rats pretreated withS. polycystum showed considerable inhibition in the elevation of TNF-α compared to the rats intoxicated with acetaminophen. The electron microscopic observation showed considerable loss of structural integrity of the endoplasmic reticulum, lipid infiltration and ballooning of mitochondria in the acetaminophen-intoxicated rats, whereas the rats treated with S. polycystum showed considerable protection against acetaminophen-induced alterations in structural integrity. CONCLUSION: These observations suggest that the animals treated with S. polycystum extract may have the ability to protect the drug metabolizing enzyme system and mitochondrial functional status from free radical attack, thereby showing its defense mechanism in protecting hepatic cells from acetaminophen toxic metabolite N-acetyl-para-benzoquinone-imine (NAPQI). 展开更多
关键词 Sargassum polycystum ACETAMINOPHEN Toxic hepatitis NAPQI Free radical
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Study on Metabolites of Aconitum Alkaloids in Human Urine
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作者 ForMaster‘sDegree:SUNYing Supervisor:Prof.ZHANGHong-gui +1 位作者 ZHONGda-fang ZHANGHan-qi 《Journal of Chinese Pharmaceutical Sciences》 CAS 2003年第1期54-55,共2页
关键词 ACONITE METABOLITES POISONING ACONITINE LC MS
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