血液灌流联合血液透析治疗对百草枯中毒抢救成功率的影响.docVIP

血液灌流联合血液透析治疗对百草枯中毒抢救成功率的影响 　　[摘要] 目的 探讨血液灌流联合血液透析治疗对百草枯中毒抢救成功率的影响。 方法 选择2013年1月～2015年1月我院急诊科收治的74例急性百草枯中毒患者为研究对象，根据入院顺序将其分为实验组与对照组，各37例。实验组给予血液灌流及血液透析联合治疗；对照组单纯给予血液灌流治疗。观察比较两组患者治疗效果及并发症的发生。 结果 实验组治疗总有效率为86.49%（32/37），对照组为43.24%（16/37），实验组治疗有效率显著高于对照组（P0.05）。实验组并发症总发生率为35.14%（13/37），显著低于对照组的91.89%（34/37），差异有统计学意义（P0.05）。 结论 及时对百草枯中毒患者进行血液灌流联合血液透析治疗可有效提高抢救成功率，值得临床推广应用。 　　[关键词] 血液灌流；血液透析；百草枯中毒；肺水肿；急性呼吸窘迫综合征；洗胃 　　[中图分类号] R459.5 [文献标识码] A [文章编号] 1674-4721（2016）04（c）-0036-03 　　Impact of hemoperfusion combining with hemodialysis on rescue success rate of paraquat poisoning 　　TU Shang-gui1 QIU Yang2 ZHANG Yan-an1 　　1.Department of Emergency，Longyan First Hospital Affiliated to Fujian Medical University，Longyan 364000，China；2.Hemodialysis Room，Department of Nephrology，Longyan First Hospital Affiliated to Fujian Medical University，Longyan 364000，China 　　[Abstract] Objective To explore the impact of hemoperfusion combining with hemodialysis on rescue success rate of paraquat poisoning. Methods From January 2013 to January 2015，74 patients with acute paraquat poisoning admitted into our emergency department in our hospital were selected as research objects.According to the sequence of admission，they were evenly divided into experimental group and control group.In the experimental group，hemoperfusion combining with hemodialysis was provided，while in the control group，only hemoperfusion was used.The therapeutic effect and occurrence of complications between the two groups were comparatively observed. Results In the experimental group，the total effective rate was 86.49%（32/37），while in the control group，that was 43.24%（16/37）.The total effective rate in the experimental group was much higher than that in the control group（P0.05）.The incidence of complications in the experimental group was 35.14%，greatly lower in comparison with that in the control group accounting for 91.89%（34/37），which displayed a statistical difference （P0.05）. Conclusion For paraquat poisoning patie