摘要
目的:探讨血液灌流治疗急性重症有机磷农药中毒的临床疗效。方法:将本院1998-2003年收治急性重症有机磷农药中毒患者36例,按治疗方式分为两组:非血液灌流组(16例)和血液灌流组(20例),非血液灌流组采用常规内科治疗,血液灌流组采用常规内科治疗加血液灌流治疗,比较两组患者的治疗效果。结果:非血液灌流组16例,死亡8例,病死率50%;血液灌流组20例,死亡4例,病死率20%。非血液灌流组其病死率明显高于血液灌流组(P<0.01)。结论:血液灌流可使患者迅速清醒,减少阿托品用量,明显减少病人的病死率。
Objective： To evaluate the clinical efficacy of hemoperfusion （HP）in severe acute organophosphate pesticide poisoning. Methods： Thirty-six cases of severe acute organophosphate pesticide poisoning treated in our hospital from 1998 to 2003 were reviewed. The cases comprised two groups： HP group （20 patients） and non-HP group （ 16 patients）. Regular treatments were given to all the patients while hemoperfusion was added in the HP group. Clinical efficacy of the two groups was compared. Results： 8 patients （ 50% ） in the non-HP group died compared with 4 （20%） in HP group（ P 〈 0. 01 ）. Conclusion： Hemoperfusion was effective for rapid recovery of consciousness, reduction of atropine dosage and death rate.
出处
《广州医学院学报》
2006年第6期52-53,共2页
Academic Journal of Guangzhou Medical College
关键词
血液灌流
有机磷农药
中毒
hemoperfusion
organophosphate pesticide
poisoning
