CAJ | 학술논문

目的改进急性阿维菌素重度中毒的救治方法.方法应用集束救治策略抢救急性阿维菌素重度中毒25例,主要方法包括:①清水洗胃,甘露醇导泻,尿毒清排毒.②预防性气管插管,保护性机械通气.③床旁血液灌流治疗.结果本组患者经7～ 16d治疗,治愈24例(96.0％),死亡1例(4.0％).血液灌流1次19例,2次6例.治愈者机械通气时间3.3～ 11.4d.结论集束救治策略是抢救急性阿维菌素重度中毒有效的急救措施.
목적 개진급성아유균소중도중독적구치방법.방법 응용집속구치책략창구급성아유균소중도중독25례,주요방법포괄:①청수세위,감로순도사,뇨독청배독.②예방성기관삽관,보호성궤계통기.③상방혈액관류치료.결과 본조환자경7～ 16d치료,치유24례(96.0％),사망1례(4.0％).혈액관류1차19례,2차6례.치유자궤계통기시간3.3～ 11.4d.결론 집속구치책략시창구급성아유균소중도중독유효적급구조시.
Objective To improve the treatment method for acute avermectin poisoning.Methods We used bundles strategy in treatment for 25 cases with acute severe avermectin poisoning,the main methods include:① the clear water for gastric lavage,mannitol for catharsis,Niaoduqing for detox; ②preventive trachea intubation,protective mechanical ventilation; ③bedside hemoperfusion treatment.Result 24 cases(96.0％) were cured and one death(4.0％) in this group of patients after 7～16 days of treatment.19 cases with hemoperfusion in one time,and 6 cases in twice.Mechanical ventilation time was 3.3～ 11.4 days in cured patients.Conclusion Bundles treatment strategy is an effective first-aid measure for rescuing acute avermectin poisoning.