集束救治策略在急性阿维菌素重度中毒的应用分析

目的改进急性阿维菌素重度中毒的救治方法。方法应用集束救治策略抢救急性阿维菌素重度中毒25例，主要方法包括：①清水洗胃，甘露醇导泻，尿毒清排毒。②预防性气管插管，保护性机械通气。③床旁血液灌流治疗。结果本组患者经7—16d治疗，治愈24例（96．0％），死亡1例（4．0％）。血液灌流1次19例，2次6例。治愈者机械通气时间3.3．11．4d。结论集束救治策略是抢救急性阿维菌素重度中毒有效的急救措施。

Analysis on bundles treatment strategy for patients with acute severe avermectin poisoning

Objective To improve the treatment method for acute avermectin poisoning. Methods We used bundles strategy in treatment for 25 cases with acute severe avermectin poisoning, the main methods include： （1） the clear water for gastric lavage, mannitol for catharsis, Niaoduqing for detox; （2） preventive trachea intubation, protective mechanical ventilation;（3）bedside hemoperfusion treatment. Result 24 cases（96.0%） were cured and one death（g.0%） in this group of patients after 7-16 days of treatment. 19 cases with hemoperfusion in one time, and 6 cases in twice. Mechanical ventilation time was 3.3-11.4 days in cured patients.Conclusion Bundles treatment strategy is an effective first-aid measure for rescuing acute avermectin poisoning.