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血浆置换与血液灌流联合治疗急性重度有机磷农药中毒的疗效观察
引用本文:胡蓬勃,许玲,邱建清,吴立强,王晓宇,周国军. 血浆置换与血液灌流联合治疗急性重度有机磷农药中毒的疗效观察[J]. 泰山医学院学报, 2011, 32(8): 592-594
作者姓名:胡蓬勃  许玲  邱建清  吴立强  王晓宇  周国军
作者单位:1. 滨州医学院附属医院急诊科,山东滨州,256600
2. 滨州医学院附属医院呼吸内科,山东滨州,256600
摘    要:目的探讨血浆置换与血液灌流联合治疗急性重度有机磷农药中毒的临床疗效。方法对急诊科2005年1月至2010年12月急性重度有机磷中毒患者病历回顾性分析,将急性重度有机磷中毒患者分为两组:治疗组(血浆置换与血液灌流治疗)76例,对照组(常规治疗)70例,治疗组在对照组基础上,加用血浆置换和血液灌流联合治疗急性重度有机磷农药中毒。结果治疗组比较对照组氯解磷定及阿托品的用量减少;胆碱酯酶活力恢复的时间、平均住院时间、昏迷时间明显缩短,阿托品中毒的发生率、急性有机磷农药中毒反跳率、中间综合症的发生率和死亡率也明显降低,平均存活时间延长(P〈O.05)。结论血浆置换与血液灌流联合治疗能明显提高急性重度有机磷中毒的疗效。

关 键 词:血浆置换  血液灌流  急性重度有机磷中毒

The clinical effect of plasma exchange combined with hemoperfusion in the treatment of acute severe organophosphorus pesticide poisoning
HU Peng-bo,XU Ling,QIU Jian-qing,WU Li-qiang,WANG Xiao-yu,ZHOU Guo-jun. The clinical effect of plasma exchange combined with hemoperfusion in the treatment of acute severe organophosphorus pesticide poisoning[J]. Journal of Taishan Medical College, 2011, 32(8): 592-594
Authors:HU Peng-bo  XU Ling  QIU Jian-qing  WU Li-qiang  WANG Xiao-yu  ZHOU Guo-jun
Affiliation:HU Peng-bo XU Ling QIU Jian-qing WU Li-qiang WANG Xiao-yu ZHOU Guo-jun(Binzhou Medical University Hospital,Binzhou 25660,China)
Abstract:Objective: To explore the clinical effect of plasma exchange combined with hemoperfusion in the treatment of acute severe organophosphorus pesticide poisoning.Methods: The data of acute severe organophosphorus pesticide poisoning cases from January 2005 to December 2010 in our Emergency Department were retrospectively reviewed,and the patients with acute severe organophosphorus pesticide poisoning were divided into two groups: 76 cases in the treatment group(plasma exchange combined with hemoperfusion) and ...
Keywords:plasma exchange  hemoperfusion  severe acute organophosphate poisoning  
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