| 急诊科早期应用血液净化治疗急性重度中毒的临床研究 |
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| 引用本文： | 吕菁君,魏捷,王蕊,李文强,李玲莉,杨卫泽,李涛,万曦,杨河欣,周燕,祁必富.急诊科早期应用血液净化治疗急性重度中毒的临床研究[J].临床急诊杂志,2011,12(4):238-241. |
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| 作者姓名： | 吕菁君 魏捷 王蕊 李文强 李玲莉 杨卫泽 李涛 万曦 杨河欣 周燕 祁必富 |
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| 作者单位： | 武汉大学人民医院急诊科,武汉,430060 |
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| 摘 要： | 目的:探讨血液净化治疗在急性药物或毒物中毒中的应用时机和方法。方法:2008年至2010年符合急性重度药物或毒物中毒诊断标准的患者65例。根据病情选择血液灌流、血液透析、血液灌流联合血液透析、或床旁连续性肾脏替代治疗。评估Glasgow评分,机械通气使用率,住院天数,治愈率,死亡率,以及血液净化治疗的不良反应。结果:首诊时Glasgow评分为5.4±2.2。血液净化治疗开始的时间为首诊后2.3±0.8h。平均血液净化治疗的次数为2.7±0.5次。患者痊愈出院50例(76.9%),自动出院7例(10.7%),死亡8例(12.3%)。平均住院天数5.6±2.2d。结论:在常规内科对症对因治疗的同时,尽早、综合、大胆应用血液净化治疗,显著提高急性重度中毒患者的救治成功率,减少住院天数。
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| 关 键 词： | 中毒 血液净化 早期 治疗 |
Application emergency hemopurification therapies in patients with acute toxicants poisoning at the early stage |
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| LV Jingjun,WEI jie,WANG Rui,LI Wenqiang,LI Lingli,YANG Weize,LI Tao,WANG Xi,YANG Hexin,ZHOU Yan,QI Bifu.Application emergency hemopurification therapies in patients with acute toxicants poisoning at the early stage[J].Journal of Clinical Emergency Call,2011,12(4):238-241. |
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| Authors: | LV Jingjun WEI jie WANG Rui LI Wenqiang LI Lingli YANG Weize LI Tao WANG Xi YANG Hexin ZHOU Yan QI Bifu |
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| Institution: | LV Jingjun WEI jie WANG Rui LI Wenqiang LI Lingli YANG Weize LI TaoWANG Xi YANG Hexin ZHOU Yan QI Bifu(Department of Emergency,Renmin Hospital of Wuhan university,Wuhan,Hubei,430060,China) |
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| Abstract: | Objective:To explore the timing and technique of emergency hemopurification therapies in patients with acute toxicants poisoning. Method:On the basis of routine medical therapy,sixty-five patients with acute toxicants poisoning in the emergency department were treated with hemoperfusion,or/and hemodialysis,or/and continuous renal replacement therapy(CRRT) in according to clinical manifestation and toxicants properties. The timing of hemopurification therapy,Glasgow coma score and the rate of mechanical vent... |
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| Keywords: | hemopurification poisoning early stage therapy acute |
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