hemoperfusion combined with dialysis treatment of paraquat poisoning clinical experience(血液灌流联合透析治疗百草枯中毒的临床经验).docVIP
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hemoperfusion combined with dialysis treatment of paraquat poisoning clinical experience(血液灌流联合透析治疗百草枯中毒的临床经验)
Hemoperfusion combined with dialysis treatment of paraquat poisoning Clinical Experience
[Abstract] Objective blood purification therapy Efficacy of paraquat poisoning. The method five cases of paraquat poisoning patients in the medical treatment based on the use of hemoperfusion combined with dialysis, to compare the treatment effect according to the severity and frequency of treatment. Conclusion early repeated joint use HP + HD, can effectively improve the cure rate, and improve the prognosis.
[Keywords] paraquat poisoning hemoperfusion dialysis
Paraquat also known as gram Wuhu track diquat is a pyridine herbicides paraquat strong toxicity to humans and animals, poisoning mortality rate as high as 50% -80%, were treated in hospital from 2005-2010 5 cases of poisoning patients, are used hemoperfusion combined with dialysis treatment, and achieved good effect, are reported below Papers Download:
1 Materials and Methods
1.1 General Information
5 patients, 2 males, 3 females, average age 32 + -5, the amount of oral paraquat 5-150ml, average 45ml, patients in the local timely a gastric lavage and transferred to our hospital with 24h, accept purification time 4h ~ 4d, 7 to 24 days of hospital stay, average 16.5d, poisoning before, there was no underlying diseases.
1.2 Clinical manifestations
Patients with poisoning symptoms such as abdominal pain, nausea, vomiting, sore throat, esophagus, oral ulcers, a case of multiple organ failure, four cases I have varying degrees of renal failure. Sanity: two cases of sober, two cases of delirium, cases of coma.
1.3 Laboratory tests
5 patients had leukocytosis, urinary protein + + + +, red blood cells + + + +, urea nitrogen and serum creatinine was significantly higher, two cases of chest X-ray showed pulmonary edema, blood gas analysis have hypoxemia, liver function two cases of abnormal cardiac enzymes increased by 1.
1.4 Treatment
5 cases were immediately transferred to our hospital for HP +
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