急性毒鼠强中毒的救治研究  

Experience on treatment of an event of acute tetramine poisoning

作　　者：覃卫平[1] 葛宪民[1] 刘晓敏 

机构地区：[1]广西壮族自治区职业病防治研究院,南宁530021 [2]桂林市人民医院,桂林541001

出　　处：《中国临床新医学》2010年第5期428-431,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广西医疗卫生重点科研课题(桂卫重200212号)

摘　　要：目的总结探讨急性毒鼠强中毒的症状特点及救治经验。方法对8例急性毒鼠强中毒的临床资料及救治经过进行回顾性总结分析。结果 8例中毒患者均成功救治,1例出现二次中毒。结论经口毒鼠强中毒的潜伏期短,临床主要表现为惊厥、全身抽搐。早期彻底洗胃、防治脑水肿和控制癫痫发作是治疗成功的关键,苯巴比妥使用要早,减量要慢,配合血液灌流和综合治疗能取得较好疗效。Objective To summarize the characteristics of symptoms and the experience of treatment of tetramine poisoning. Methods The clinic datas of 8 cases of acute tetramine poisoning were analyzed. Results All of 8 cases were cured successfully, and secondary- poisonning was found in one of them. Conclusion The incubation period of tetramine poisoning by mouth is short, and the main clinical manifestations include convulsion and systemic hyperspasmia. The key points of sucessful cure include thorough gastric lavage in the earlier period, prevention and treatment of brain edema and control of the epilepsy seizure. The treatment of phenobarbital should be used earlier, and the decrease of drug dose should be performed slowly, and the better curative effect should be obtained with the combination of hemoperfusion and comprehansivc therapy.

关 键 词：毒鼠强 中毒 救治 

分 类 号：R595.4[医药卫生—内科学]