急诊血液灌流治疗重度杀虫脒中毒的疗效分析与临床评定  

Analysis of Curative Effect and Clinical Evaluation of Emergency Hemoperfusion in Treatment of Severe Chlordimeform Poisoning

作　　者：张淑涛 ZHANG Shu-tao(Department of Emergency,Xinwen Mining Group Central Hospital,Xintai,Shandoong Province,271200 China)

机构地区：[1]新汶矿业集团中心医院急诊科,山东新泰271200

出　　处：《系统医学》2017年第24期32-34,共3页Systems Medicine

摘　　要：目的观察并探究急诊科中重度杀虫脒中毒患者的血液灌流治疗效果。方法择取2012年10月—2017年10月期间急诊科收治的80例重度杀虫脒中毒患者,随机分入对照组与研究组,分别行单纯内科对症综合治疗、内科对症综合治疗+血液灌流治疗。对比两组患者的急救成功率、住院时间、病情改善时间以及入院前后的游离血红蛋白浓度。结果研究组的急救成功率为90.0%(36/40),高于对照组72.5%(29/40)的急救成功率,差异有统计学意义(χ~2=4.021,P=0.045<0.05)。研究组的住院时间、病情改善时间分别为(4.43±1.51)d和(8.41±1.31)d,均短于对照组的(7.43±1.68)d和(12.47±3.81)h,差异有统计学意义(t=8.400,6.373,P=0.000<0.05)。并且其入院前后的游离血红蛋白浓度程度也优于对照组,差异有统计学意义(P<0.05)。结论急诊可以为重度杀虫脒中毒患者采取血液灌流治疗,不仅疗效显著,还能加快患者的康复速度。Objective To observe and study the effect of emergency Hemoperfusion in treatment of severe chlordimeform poisoning.Methods 80 cases of patients with severe chlordimeform poisoning admitted and treated in our hospital from October 2012 to October 2017 were selected and randomly divided into two groups,respectively treated with simple symptomatic general treatment and hemoperfusion on the basis the symptomatic general treatment,and the emergency successful rate,length of stay,improvement time of diseases and Hb haemoglobin concentration before and after admission were compared between the two groups.Results The emergency successful rate in the research group was higher than that in the control group[90.0%(36/40)vs 72.5%(29/40)],and the difference was statistically significant(χ2=4.021,P=0.045<0.05),and the length of stay and improvement time of diseases in the research group were shorter than those in the control group,[(4.43±1.51)d,(8.41±1.31)h vs(7.43±1.68)d,(12.47±3.81)h],and the differences were statistically significant(t=8.400,6.373,P=0.000<0.05),and the concentration of free haemoglobin before and after admission was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The curative effect of emergency hemoperfusion in treatment of severe chlordimeform poisoning is obvious,which can accelerate the recovery rate of patients.

关 键 词：急诊 血液灌流 杀虫脒 重度中毒 治疗效果 对症治疗 

分 类 号：R595.4[医药卫生—内科学]