超致死剂量百草枯中毒老年患者救治成功1例  

Successful treatment of an elderly after taking supralethal dose of paraquat

作　　者：袁发焕[1] 陈枫[1] 王沂芹[1] 王代红[1] 罗腾超 郭伟[3] 周劲[3] 常金红 唐云[3] 周洪文[3] 梁莉[1] 袁巧洪[1] 黄敬缘 

机构地区：[1]第三军医大学新桥医院肾内科,重庆400037 [2]重庆市梁平县中医院,重庆405211 [3]重庆市梁平县人民医院,重庆405211

出　　处：《中华老年多器官疾病杂志》2013年第6期469-472,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

摘　　要：笔者成功抢救1例超致死剂量浓百草枯（20％的水剂原液50m1）中毒的83岁男性患者。根据文献报道和笔者的临床经验，百草枯中毒死亡率在90％以上，该例的救治成功，非常不易。临床针对此类患者，应尽早洗胃，应用大剂量激素和氨溴索，尽早并长程血液净化。另外，患者家族均长寿，是否对毒物有特殊耐受能力，有待进一步研究。We report a successful rescue of an 83-year-old male patient who took a supralethal dose of paraquat （50ml, 20% aqueous solution）. According to literature and our own clinical experience, if some one taking 10ml paraquat, the mortality would be more than 90%. Our experience was early gastric lavaging, large doses of steroid and ambroxol, early and long-time blood purification. In addition, the patient＇s family members were longevous, so they might be tolerant to paraquat.

关 键 词：百草枯 中毒 老年人 治疗 

分 类 号：R459.7[医药卫生—急诊医学] R592[医药卫生—治疗学]