血液灌流联合血液透析抢救百草枯中毒12例疗效观察

目的：观察血液灌流（HP）和血液透析（HD）联合治疗百草枯中毒疗效。方法：35例百草枯中毒患者，按照他们所接受治疗方法的不同分成3组，其中接受常规综合治疗的13例为对照组，在常规综合治疗的基础上联合使用HP的10例为HP组，联合使用HP＋HD的12例为HP＋HD组，将他们的临床资料进行比较分析。结果：经血液净化治疗后抢救成功率明显提高，而且接受HP＋HD联合治疗的患者病死率较接受另外两种方法治疗的患者病死率下降。结论：对百草枯严重中毒的患者应尽早行血液净化治疗。且HP＋HD联合治疗可能是抢救百草枯中毒的一种较好方法。

Combination therapy with hemoperfusion and hemodialysis for paraquat poisoning

Objective:To observe the effect of combined use of hemoperfusion (HP) and hemodialysis HD in the treatment of paraquat poisoning.Methods:35 patients poisoned by paraquat were divided into three groups according they received different treatment.13 patients in the control group received routine treatment,10 patients in the first experiment group received routine treatment with HP,and 12 patients in the second experiment group received routine treatment with HP and HD.Their clinical data were analyzed and studied contrastively.Results:The survival rate of the poisoned ones taken by blood purification was significantly higher than that of the control group. And the death rate of those received routine treatment with HP and HD was lower than that of those received the other two ways.Conclusion:It is suggested that blood purification should be taken early to the severe patients poisoned by paraquat,and combined use of HP and HD is a good therapy for paraquat poisoning.