急性砷化氢中毒合并多器官功能障碍综合征24例的早期血生化分析  

Analysis on the early phase of serum biochemicals for 24 cases of acute arsine poisoning combined with MODS

作　　者：刘子梦[1] 袁睿[1] 谢媛[1] 杨亚非[1] 

机构地区：[1]云南省第二人民医院急诊内科,昆明650021

出　　处：《中华灾害救援医学》2016年第3期156-158,共3页Chinese Journal of Disaster Medicine

摘　　要：回顾性分析2013年收治的一起急性职业性砷化氢(arsinic trihydride,AsH_3)中毒事件的病例资料,探讨AsH_3中毒且合并多器官功能障碍综合征(multiple organ dysfunction syndrome,MODS)患者在救治过程中的临床表现、血细胞及生化指标变化情况,为成功救治提供科学依据。急性AsH_3中毒早期,特别是合并MODS的患者,应及早给予持续净化、大剂量激素综合治疗;保护脏器功能是救治成功的关键;治疗过程中密切监测血生化指标的变化,生化指标的明显好转提示预后良好。Clinical data of an acute professional arsine poisoning incident in 2013 were retrospectively analyzed, to explore the clinical manifestations, and the changes of blood cell and biochemical criterion of patients with arsine poisoning combined with multiple organ dysfunction syndrome（MODS） during the treatment process, with an aim of providing scientific evidence for successful treatment. During the early stage of acute arsine poisoning, especially patients combined with MODS should be treated earlier and continuously with blood purification, comprehensive treatment with large dose of hormone; and organ function protection is the key; during the therapeutic process, blood biochemical indexes should be closely monitored as the improvement of those indices hinted favorable prognosis.

关 键 词：砷化氢 中毒 

分 类 号：R459.7[医药卫生—急诊医学]