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血浆置换在抢救酵米面中毒的临床应用

Clinical study of plasma exchange in treatment of ferment corn flour poisoning

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【作者】 陆绍强王三亨梁碧琴韦日周蒙清婷李金秀黎小妹

【Author】 LU Shao-qiang WANG San-heng LIANG Bi-qin WEI Ri-zhouMENG Qing-ting LI Jin-xiu LI Xiao-mei (Bose People’s Hospital, Affiliated South-west Hospital of Youjian g Medical College for Nationalities, Bose, Guangxi 533000, P.R.China)

【机构】 广西百色市人民医院右江民族医学院附属西南医院肾内科广西百色市人民医院右江民族医学院附属西南医院肾内科 广西百色533000广西百色533000广西百色533000

【摘要】 目的 提高酵米面中毒抢救的成功率 ,减少病死率。方法 对 44例酵米面中毒在内科综合治疗基础上部分分别联合血浆置换 (PE)、血液透析、换血治疗 ;15例单纯内科综合治疗 (综合组 )。并对各种疗效进行分析和对比。结果 PE组 18例中 ,治愈 15例 ,死亡 3例 ;血透组 2例中 ,死亡 2例 ;换血组 9例中 ,治愈 5例 ,死亡 4例 ;单纯综合治疗组 15例中 ,死亡 15例。PE与综合组比效差异有高度显著性 (P <0 .0 1)。结论 在内科综合抢救治疗基础上及时配合PE治疗 ,是减少酵米面中毒病死率的重要措施。

【Abstract】 Objective To improve the succes s rate of the immergency treatment of ferment corn flour poisoning, and decrease t he mortality. Methods 44 patients with ferment corn flour poisoning were treated with internal combined modality therapy, and some combined with plasma exchange (PE), hemodialysis, blood exchange treatment, respectively, 15 of them received pure internal combined modality therapy (the internal group). The curative effects of various treatment were comparatively an alyzed. Results In PE group (18 cases), 15 were cured, 3 died; in hemodialysis group (2 cases), 2 died; in blood exchange group (9 cases), 5 were cured, 4 died; in internal group (15 cases), 15 died. In comp arison of the PE group the internal group, there was statistically significant d ifference (P<0.01). Conclusion The internal combined modality therapy associated with PE treatment are major methods for th e treatment of ferment corn flour poisoning.

【关键词】 食物中毒酵米面血浆置换
【Key words】 food poisoningferment corn flourplasma exc hange
【基金】 百色地区科学研究与技术开发计划项目百地科字 [2 0 0 2 ] 11号
  • 【文献出处】 右江民族医学院学报 ,Journal of Youjiang Medical College For Nationalities , 编辑部邮箱 ,2004年06期
  • 【分类号】R595.7
  • 【被引频次】2
  • 【下载频次】28
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