血液灌流及透析救治急重症有机磷中毒  

Clinical Observation of HPD in Curing AOPP

作　　者：邱维强[1] 邹利玲[1] 张翠华[1] 

机构地区：[1]广东省梅州市人民医院,514031

出　　处：《实用全科医学》2005年第4期336-337,共2页Applied Journal Of General Practice

摘　　要：目的探讨血液灌流透析(HPD)救治重症急性有机磷中毒(AOPP)的临床疗效。方法67例AOPP患者随机分成HPD组(n=35)与对照组(n=32)。对照组予以阿托品、解磷定等综合内科治疗。HPD组在内科治疗基础上加HPD治疗。结果HPD组和对照组比较,患者阿托品化时间、胆碱酯酶活力恢复时间、平均住院时间均明显缩短(P<0.05)。结论HPD救治重症AOPP疗效显著。值得临床进一步应用总结。Objective To investigate the clinical effect of HPD in curing AOPP. Methods 67 AOPP suffers were randomly divided into 2 groups: HPD Group and the Control group. The control group was served with Atropine and pralidoxime iodide, etc. HPD Group was treated with HPD besides these medicines. Results Comparing with the control group, the HPD Group spent less time in absorbing Atropine and in regaining the vitality of cholinesterase. The time of hospitalization was shortened remarkably (P<0.05), and the cure rate is improved greatly. Conclusions The clinical effect of HPD in curing AOPP is remarkable, worthy of application.

关 键 词：重症有机磷中毒 救治 重症急性有机磷中毒 血液灌流透析 阿托品化时间 胆碱酯酶活力 AOPP HPD 对照组 临床疗效 内科治疗 PD治疗 治疗基础 恢复时间 住院时间 疗效显著 解磷定 患者 

分 类 号：R595.4[医药卫生—内科学] R459.5[医药卫生—临床医学]