Hemoperfusion 3 cases of horseshoe crab poisoning in nursing.docVIP

 PAGE \* MERGEFORMAT 8 Hemoperfusion 3 cases of horseshoe crab poisoning in nursing [Keywords:] blood perfusion; horseshoe crab poisoning; Care Blood perfusion is the patient’s blood and after in vitro leads to blood perfusion, by adsorption methods to clear the body of endogenous and exogenous toxic substances, and finally purified blood back to the patient, to achieve the purpose of blood purification a treatment [1]. hemoperfusion for the treatment of certain acute drug or poison intoxication one of the most effective way. in our hospital from January 2006 to December 2007 were treated 3 cases of horseshoe crab poisoning patients, using blood perfusion method, with the comprehensive treatment of drug and achieved good results, now nursing reported below. 1 Clinical data The group 3 patients, all male, aged 42 to 63 years old, professional fishermen .3 cases were caused by the consumption LAL 2 ~ 5 h after treatment with different degree of symptoms, including 1 case of dizziness, headache, vomiting, perioral numbness, muscle weakness; 1 case of abdominal pain, diarrhea, ataxia, gait mite Shan, limbs flaccid paralysis; 1 patient had trismus, irritability, slow pulse. give early gastric lavage, catharsis, to maintain airway patency, rapid establishment of intravenous access, blood perfusion as early as possible and other treatment, 3 patients were cured. 2 Care 2.1 General care 2.1.1 The rapid clearance of the digestive system of care within the gastrointestinal toxic, as soon as possible gastric lavage, catharsis, etc. .3 emergency work in the local health center patients were given initial gastric lavage, to the emergency department of our hospital and then to complete gastric lavage and catharsis. lavage gastric lavage should be accurate records of intake and output and color. 1st poured into the volume of gastric lavage should not be too large to 300 ~ 400 mL is appropriate, so as not to drive poisons into the intestine. 2.1.2 nervo