Hemoperfusion treatment of pediatric nursing acute severe poisoning.docVIP

 PAGE \* MERGEFORMAT 6 Hemoperfusion treatment of pediatric nursing acute severe poisoning Of: Tongxiang Fei, Huang Yufen, Linxia Qin, Zhou Hongqin [Keywords:] blood perfusion; acute severe poisoning; Care Hemoperfusion (HP) is the arterial blood flow through the pipeline toward the patient perfusion, blood flow through the adsorbent by perfusion or when the role of other biological materials to purify or biochemical treatment, the blood perfusion and then by pipeline after the venous return [ 1], commonly used activated carbon and resin. hospital from January 2008 -2010 admitted on March 12 cases of acute severe poisoning in children, both for hemoperfusion, and achieved remarkable results. 1 Clinical data 1.1 General Information The group of 12 patients, 5 males and 7 females; aged 1.5 to 13.8 years, mean 5.6 years. 3 cases of organophosphate poisoning, paraquat poisoning, 2 cases of endosulfan poisoning in 2 cases, 5 cases of drug poisoning . All patients were absorbed by the oral poisoning, when the patients were hospitalized in a coma. 1.2 perfusion selection and preparation of children under the age of the appropriate choice of perfusion and pipes, have both HA230 and HA330. Pipe after the pre-washed, first with 5% glucose 500ml, 1500ml + heparin saline and then 45mg, the final heparin saline 500ml + 100mg is connected into closed loop 20min. in the whole process of pre-washed, should be hand pat and turn perfusion, and perfusion in the discharge pipe of the air. 1.3 Treatment and outcome of poisoning continued to 2h, with the air back to the Blood back to the blood and prevent saline to the adsorption of toxic re-released back into the body [2]. Cured 11 patients, 1 patient died. 7 cases Perfusion 8h clear, 4 patients after 3 time blood perfusion regained consciousness. Paraquat poisoning death in children is due to late treatment, pulmonary fibrosis, respiratory failure occurred, followed by multiple organ failure and death. 2 Ob