急性百草枯中毒29例临床分析

陈姣; 张小静; 邹郡; 韩继媛

doi:10.13201/j.issn.1009-5918.2014.12.013

急性百草枯中毒29例临床分析

- 华中科技大学同济医学院附属协和医院急诊科(武汉, 430022)

详细信息

通讯作者: 韩继媛,E-mail:jiyuanhan@126.com

中图分类号: R114

收稿日期: 2013-08-20

The clinical analysis of 29 cases of acute paraquat poisoning

- Department of Emergency, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China

More Information

Corresponding author: HAN Jiyuan, E-mail: jiyuanhan@126.com

Received Date: 20 August 2013

摘要

摘要: 目的:探讨百草枯中毒的临床特点及救治方法。方法:对29例急性百草枯中毒住院患者的临床资料进行回顾性分析。结果:所调查患者中,1例转院继续治疗,12例好转出院,11例死亡,5例未愈出院,院内死亡率40%。结论:百草枯毒性大,无特效解毒药。口服中毒后及早进行彻底洗胃、导泻等清除体内毒物,同时应用抗自由基药物、使用大剂量糖皮质激素减轻肺组织损害、尽早和反复予以血液净化治疗,上述综合有效的治疗是减少中毒死亡的关键。
- 百草枯中毒 /
- 血液净化
Abstract: Objective:To investigate the clinical features and treatment methods of paraquat poisoning.Method:A retrospective analysis of 29 hospitalized patients of acute paraquat poisoning.Result:Among those patients,1 case was transferred for further treatment,12 cases recovered and discharged,11 cases died,5 cases uncured and discharged.The hospital mortality was 40%.Conclusion: Paraquat is very toxic and has no specific antidote.The toxins should be removed from body after oral poisoning as early as early as possible such as complete gastric lavage,catharsis.Furthermore,application of anti-free radical medicine,alleviating the lung injury with large dose of glucocorticoid,early and repeatedly blood purification treatment are all effective and comprehensive treatment for reducing poisoning death.
- acute paraquat poisoning /
- blood purification

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参考文献(10)

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