中华劳动卫生职业病杂志
中華勞動衛生職業病雜誌
중화노동위생직업병잡지
CHINESE JOURNAL OF INDUSTRIAL HYGIENE AND OCCUPATIONAL DISEASES
2012年
9期
686-687
,共2页
刘景艳%李兰荣%金慧燕%王桂芳
劉景豔%李蘭榮%金慧燕%王桂芳
류경염%리란영%금혜연%왕계방
百草枯%中毒%呼吸窘迫综合征
百草枯%中毒%呼吸窘迫綜閤徵
백초고%중독%호흡군박종합정
Paraquat%Intoxication%Respiratory distress syndrome
目的 探讨影响百草枯口服中毒患者预后的相关因素.方法 回顾性分析40例急性百草枯中毒患者血清尿素氮、肌酐、丙氨酸转氨酶、天冬氨酸转氨酶水平和并发脏器损伤情况.结果 40例中毒患者中有21例出现肺损伤,26例出现肾损害,13例并发多脏器功能不全,12例死亡.21例肺损伤患者中有19例在肾损伤后出现肺损伤,肺损伤组病例中毒24 h内血清尿素氮[(6.61±3.32) mmol/L]、肌酐[(133.90±14.20) μmol/L]水平明显高于无肺损伤组[尿素氮:(3.86±1.19) mmol/L,肌酐:(116.05±27:21) μmol/L,差异有统计学意义(t=3.324,P=0.004).结论 急性百草枯中毒患者早期肾功能与肺损伤有关,可以作为预测肺损伤的指标.
目的 探討影響百草枯口服中毒患者預後的相關因素.方法 迴顧性分析40例急性百草枯中毒患者血清尿素氮、肌酐、丙氨痠轉氨酶、天鼕氨痠轉氨酶水平和併髮髒器損傷情況.結果 40例中毒患者中有21例齣現肺損傷,26例齣現腎損害,13例併髮多髒器功能不全,12例死亡.21例肺損傷患者中有19例在腎損傷後齣現肺損傷,肺損傷組病例中毒24 h內血清尿素氮[(6.61±3.32) mmol/L]、肌酐[(133.90±14.20) μmol/L]水平明顯高于無肺損傷組[尿素氮:(3.86±1.19) mmol/L,肌酐:(116.05±27:21) μmol/L,差異有統計學意義(t=3.324,P=0.004).結論 急性百草枯中毒患者早期腎功能與肺損傷有關,可以作為預測肺損傷的指標.
목적 탐토영향백초고구복중독환자예후적상관인소.방법 회고성분석40례급성백초고중독환자혈청뇨소담、기항、병안산전안매、천동안산전안매수평화병발장기손상정황.결과 40례중독환자중유21례출현폐손상,26례출현신손해,13례병발다장기공능불전,12례사망.21례폐손상환자중유19례재신손상후출현폐손상,폐손상조병례중독24 h내혈청뇨소담[(6.61±3.32) mmol/L]、기항[(133.90±14.20) μmol/L]수평명현고우무폐손상조[뇨소담:(3.86±1.19) mmol/L,기항:(116.05±27:21) μmol/L,차이유통계학의의(t=3.324,P=0.004).결론 급성백초고중독환자조기신공능여폐손상유관,가이작위예측폐손상적지표.
Objective To investigate the influential factors for the prognosis in patients with paraquat poisoning.Methods Retrospective analysis was performed on 40 patients with acute paraquat poisoning to evaluate serum urea nitrogen,creatinine,alanine aminotransferase,and aspartate aminotransferase levels and organ injuries.Results Among the patients,21 had lung injury,26 had kidney injury,13 had multiple organ dysfunction syndrome,and 12 died.The factors associated with lung injury were kidney injury and serum urea nitrogen and creatinine levels within 24 hours after paraquat poisoning.Conclusion The renal function in early stage of paraquat poisoning is related to lung injury and thus can be used as a predictor for the incidence of lung injury.
