急性重症秋水仙碱中毒治疗分析

肖章武; 马莉

doi:10.13201/j.issn.1009-5918.2018.04.012

急性重症秋水仙碱中毒治疗分析

肖章武^1, ,,
马莉²

- 1. 中国人民解放军第476医院急诊科(福州, 350002);
- 2. 北京卫戍区海淀第39离职干部休养所

详细信息

通讯作者: 肖章武, E-mail:308407043@qq.com

中图分类号: R595.4

收稿日期: 2018-03-16

Analysis of treatment on acute severe colchicine poisoning

XIAO Zhangwu^1, ,,
MA Li²

- 1 Department of Emergency, the 476 th Hospital of Chinese People's Liberation Army, Fuzhou, 350002, China;
- 2 Beijing Garrison District Haidian 39 th Retired Cadre Recuperation Center

More Information

Corresponding author: XIAO Zhangwu, E-mail: 308407043@qq.com

Received Date: 16 March 2018

摘要

摘要: 目的: 探讨急性重症秋水仙碱中毒的救治策略。方法: 回顾性分析2014-01-2017-11期间收治的5例急性重症秋水仙碱中毒的临床资料, 均为大剂量服毒自杀, 其中男2例, 女3例;年龄21~56岁, 平均 (38.8±14.1) 岁。结果: 2例死亡, 1例放弃治疗后死亡, 2例临床治愈出院。结论: 虽然秋水仙碱中毒虽无特殊解毒药, 治疗上仍以对症处理及重要脏器功能保护为主。但是, 通过分析中毒后患者的症状、治疗及并发症, 我们认为, 如果能尽早积极清除毒物, 尤其是配合及时血液滤过及血浆置换的综合治疗, 还是能有较好的救治效果。
- 秋水仙碱 /
- 重症中毒 /
- 综合治疗
Abstract: Objective: To investigate the therapeutic strategy on patients with acute severe colchicine poisoning.Method: Five acute colchicine poisoning cases admitted to our department from January 2014 to November 2017 were retrospectively analyzed.All cases, which include 2 males and 3 females at 21-56 years old with an average of (38.8 ± 14.1) year, are suicides with high dose.Result: Among these cases, 2 cases died, 1 case died after giving up treatment, 2 cases were cured and discharged from hospital.Conclusion: Although there is no special antidote for poisoning caused by colchicine, and the treatment mainly focuses on the symptomatic treatment and protection of the functions of important organs.However, we believe that if we can actively remove toxic substances as early as possible, especially combined with timely hemofiltration and plasma exchange after analyzing the symptoms, treatment and complications of patients, we can also achieve better therapeutic effect on patients with colchicine poisoning.
- colchicine /
- severe poisoning /
- comprehensive treatment

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参考文献(9)

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