毒蕈中毒的血液透析治疗体会(附10例报告)  

The Study of Hemdialysis on Mushroom Poisoning Patients(10 Cases Reported)

作　　者：白亮[1] 刘新梅[1] 白浪飞 

机构地区：[1]黄梅县人民医院,黄梅435500 [2]黄石市冶钢医院

出　　处：《临床急诊杂志》2005年第1期18-19,共2页Journal of Clinical Emergency

摘　　要：目的探讨血液透析救治毒蕈中毒患者的有效性。方法对10例毒蕈中毒致急性肾功能衰竭合并中毒性肝炎或中毒性心肌炎患者进行血液透析和综合治疗。结果本组10例患者经过血液透析及综合治疗,无尿期2～15d,平均4.5d;血透2～8次,平均4次;住院4～30d,平均16d。除1例合并肝功能衰竭患者死亡外,其余9例救治成功,随访半年,无后遗症。结论血液透析救治毒蕈中毒是有效的,但在救治方法中,血液透析和腹膜透析孰优孰劣,尚须进一步研究。Objective To study the effect of hemodialysis in patients of mushroom poisoning.Methods 10 mushroom poisoning pa- tients camplained with acute renal failure,toxic hepatitis or foxic myocarditis treated with hemodialysis and eonventional therapy.Results 10 patients received bemodialysis 2～8 times(mean 4 times).The results shew that the anaric stage last 2～15 days(mean 4.5 days).The pa- tient stayed in hospital last from 4～30 days(mean 16 days).9 patients were surviral except 1 patient was dead due to liver function fail- ure.Namy sequelae found inall patient with a half year follow-up.Conclusion Hemodialysis was an effective method to treat the mushroom poisoning patients.It needed to confirm either hemedialysis or peritoneal dialysis was a better method in patients with mushroom poisoning.

关 键 词：血液透析 毒蕈中毒 患者 救治 治疗体会 综合治疗 中毒性肝炎 血透 中毒性心肌炎 肝功能衰竭 

分 类 号：R459.5[医药卫生—治疗学] R692.5[医药卫生—临床医学]