引用本文:谢 莹,张永凤,林 鑫,曾 雯,达静静,胡 英,査 艳.血浆置换联合CRRT和血液灌流在急性毒蕈中毒中的疗效分析[J].中国临床新医学,2015,8(7):605-607.
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血浆置换联合CRRT和血液灌流在急性毒蕈中毒中的疗效分析
谢 莹,张永凤,林 鑫,曾 雯,达静静,胡 英,査 艳
550002 贵阳,贵州省人民医院肾内科
摘要:
[摘要] 目的 探讨血浆置换(PE)联合连续性肾脏替代治疗(CRRT)、血液灌流(HP)在急性毒蕈中毒中的疗效。方法 6例急性毒蕈中毒在内科常规综合治疗基础上同时进行PE、CRRT和HP治疗。结果 6例患者死亡2例,治愈4例。结论 PE联合CRRT、HP对毒蕈中毒疗效肯定,但对中毒时间长、肝功能严重受损及出现神经精神症状的毒蕈中毒者疗效欠佳。
关键词:  毒蕈中毒  血浆置换  CRRT  血液灌流
DOI:10.3969/j.issn.1674-3806.2015.07.02
分类号:R 595.7
基金项目:贵州省科技厅基金项目(编号:黔科合LH字2014第7002号);贵州省卫计委科学技术基金项目(编号:gzwkj2014-1-046;gzwkj2014-2-133)
The curative effect of plasma exchange combined with CRRT and hemoperfusion in the rescue of acute toadstool poisoning
XIE Ying, ZHANG Yong-feng, LIN Xin, et al.
Department of Nephrology, the People′s Hospital of Guizhou Province, Guiyang 550002, China
Abstract:
[Abstract] Objective To explore the curative effect of plasma exchange combined with CRRT and hemoperfusion in the rescue of acute toadstool poisoning.Methods Based on the conventional and comprehensive treatment, 6 cases of acute toadstool poisoned patients were treated with plasma exchange, CRRT, and hemoperfusion.Results Two cases died and 4 cases survived in total 6 cases.Conclusion Plasma exchange plus CRRT and hemoperfusion is effective in rescuing acute toadstool poisoning.
Key words:  Toadstool poisoning  Plasma exchange  Continuous renal replacement therapy  Hemoperfusionacute