序贯性血液净化抢救急性重症中毒28例

冯利平; 钟玲; 刘玲; 雷建蓉

doi:10.13406/j.cnki.cyxb.2005.05.042

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序贯性血液净化抢救急性重症中毒28例

更新时间：2024-01-17

- 序贯性血液净化抢救急性重症中毒28例
- Treatment of sequential purification in rescuing acute grave intoxication:a report of 28 cases
- 重庆医科大学学报 2005年第5期
- 作者机构：
  
  1. 重庆医科大学附属第二医院肾内科
  2. 重庆医科大学附属第二医院肾内科,重庆,400000
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2005.05.042
  中图分类号： R595
- 纸质出版日期：2005，
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[1]冯利平,钟玲,刘玲,雷建蓉.序贯性血液净化抢救急性重症中毒28例[J].重庆医科大学学报,2005(05):134-136.

FENG Liping, et al. Treatment of sequential purification in rescuing acute grave intoxication:a report of 28 cases[J]. Journal of Chongqing Medical University, 2005,(5).
[1]冯利平,钟玲,刘玲,雷建蓉.序贯性血液净化抢救急性重症中毒28例[J].重庆医科大学学报,2005(05):134-136. DOI： 10.13406/j.cnki.cyxb.2005.05.042.

FENG Liping, et al. Treatment of sequential purification in rescuing acute grave intoxication:a report of 28 cases[J]. Journal of Chongqing Medical University, 2005,(5). DOI： 10.13406/j.cnki.cyxb.2005.05.042.

摘要

目的:探讨序贯性血液净化在抢救急性重症中毒患者中的作用。方法:对我院2002年来开展血液净化治疗28例急性重症中毒患者

序贯性运用血液灌注（HP）+连续性静脉—静脉血液滤过（CVVH）治疗

并作为血液净化组与我院1998

002年未进行血液净化治疗的30例患者作回顾性对照研究。结果:血液净化组的患者在神志清醒时间、治愈率、死亡率以及阿托品用量等方面均明显优于非血液净化组。HP+CVVH治疗优于单用HP治疗。结论:血液净化治疗在抢救各种毒物和药物重症中毒中具有重要作用;它能迅速缓解临床症状

有效提高抢救成功率

降低死亡率;HP+CVVH尤其适用于伴有心肺功能衰竭、脑水肿、肾脏功能衰竭和电解质紊乱患者。

Abstract

Objective:To investigate the therapeutic effect of sequential blood purification on rescuing acute grave intoxication.Methods:Twenty eight patients with acute intoxication were treated by HP+CVVH during 2002 and compared them with thirty patients without hemopurgation from 1998 to 2002.Results:The group of hemopurgation was better than non-hemopurgation group in the time of revive

the rate of recovery and death

and the total dose of atropine.Conclusion:Hemopurgation has decisively effect on rescuing all kinds of intoxication with toxins and drugs.It could quickly ameliorate symptom

raise success rate and reduce mortality;Hp combining with CVVH are suitable for the patients with toxicsis who had cardiac and respiratory failure

brain edema

and dielectric disorder.

关键词

急性重症中毒血液灌注（HP）连续性静脉—静脉血液滤过（CVVH）

Keywords

Acute grave intoxicationHemoperfusion(HP)Continuous veno-venous hemofilitrationer(CVVH)

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