48例急性百草枯经口中毒救治分析  

An analysis of 48 cases with Paraquat poisoning

作　　者：黄彩云[1] 罗忠志[1] 赖亚栋[1] 许向农[1] 

机构地区：[1]福建医科大学附属漳州市医院消化内科,363000

出　　处：《中国实用医药》2011年第27期55-56,共2页China Practical Medicine

摘　　要：目的探讨百草枯中毒的临床特征,提高对百草枯中毒的认识和抢救水平。方法回顾性分析48例百草枯中毒患者的临床资料。结果 48例患者中治愈21例,死亡27例。不同程度中毒患者服毒量间差异有统计学意义(P<0.05)。结论百草枯中毒可致多器官功能损害,尽早进行包括血液透析及大剂量激素的综合治疗,可以显著降低病死率。Objective To explore the clinical features of Paraquat poisoning and to improve the knowledge about paraquat poisoning and the rescue level. Methods Clinical data of 48 patients with paraquat poisoning were analyzed retrospectively. Results Among the patients, there were 21 cases were cured,27 cases died. There were significent difference in taking dose of poison （P 〈 0. 05 ）. Conclusion The prognosis of Paraquat poisoning was poor with causing MODS, in which lung injury would be the main manifestations. Early synthetic treatment including hemoperfusion plus plasma exchange and large dose hormone can reduce themortality.

关 键 词：百草枯 急性中毒 血液灌注 多器官功能损害 

分 类 号：R595.4[医药卫生—内科学]