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HA型树脂血液灌流在中毒救治中的应用

The application of Treating of Poisoning with Hemoperfusion of HA Resin

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【作者】 陈明峰徐璐简爱军赵建勋余欠女

【Author】 CHEN Ming-feng,XU Lu,JIAN Ai-jun,et al(The People’s Hospital of Zhangshu City,Zhangshu,331200 China)

【机构】 樟树市人民医院樟树市妇幼保健院 江西樟树331200江西樟树331200

【摘要】 目的:观察急性中毒病人应用HA型树脂血液灌流的疗效。方法:在采用常规抢救措施的同时,应用血泵机先做预冲,再与动静脉穿刺导管连接.开始血流量从50~100ml/min的小流量开始,待病人生命体征平稳,逐渐加大至150~200ml/min治疗时间2~2.5h。灌流时全身肝素化。结果:36例病人共灌流40次,其中4例2次。救治成功33例,占91.7%,死亡3例,占8.3%。结论:血液灌流是利用固态吸附剂解除血液内的某些代谢产物、外源性或内源性毒物,可以用于临床有效救治多种中毒病人。

【Abstract】 Objective:To observe the effects of the treatment on hemoperfusion of HA resin for acute poisoning.Methods:When the methods of first aid as usual were applicate,the bump were irrigated early and then connected to the arteriovenous puncturing catheter.Hemoperfusion were applicated 50~100ml/min in the first,when smooth,to 150~200ml/min for 2 to 2.5 hours and the heparin were used simultaneously.Results:36cases were treated by hemoperfusion on 40 times,4cases of them were treated 2 times.33 cases were survival(91.7%),3cases were death(8.7%).Conclusion:The efficiency of homoperfusion with solid absorbent is effectively to remove the some metabolites and the exogenous orendogenous poisons,and this methods can cure many cases of poisoning on clinic.

【关键词】 中毒救治血液灌流
【Key words】 PoisoningTreatmentHemoperfusion
  • 【文献出处】 宜春学院学报 ,Journal of Yichun University , 编辑部邮箱 ,2005年06期
  • 【分类号】R595
  • 【下载频次】44
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