CAJ | 학술논문

目的评价侧卧位对急性百草枯中毒所致的百草枯肺的治疗效果.方法 2007-01～2008-10在我科住院的急性百草枯中毒出现肺损伤的42例患者根据就诊时间和体位分为两组:对照组和治疗组.我们将就诊于2007年不强调体位的患者为对照组(17例);就诊于2008年强调侧卧位的患者为治疗组(25例).两组均进行常规洗胃、导泻、灌肠及血液净化等.对两组病例资料进行回顾性分析,并根据CT影像做辅助诊断.结果对照组存活6例,死亡11例,生存率35％;治疗组存活16例,死亡9例,生存率64％.在两组存活的22例中,其中7例是"单肺生存",15例是曾经在治疗期出现过单肺或双肺损伤现象后又恢复的病例.结论急性百草枯中毒后侧卧位能减少肺部损害的范围,延长患者的生存时间,有利于肺代偿功能的恢复,提高生存率.
목적 평개측와위대급성백초고중독소치적백초고폐적치료효과.방법 2007-01～2008-10재아과주원적급성백초고중독출현폐손상적42례환자근거취진시간화체위분위량조:대조조화치료조.아문장취진우2007년불강조체위적환자위대조조(17례);취진우2008년강조측와위적환자위치료조(25례).량조균진행상규세위、도사、관장급혈액정화등.대량조병례자료진행회고성분석,병근거CT영상주보조진단.결과 대조조존활6례,사망11례,생존솔35％;치료조존활16례,사망9례,생존솔64％.재량조존활적22례중,기중7례시"단폐생존",15례시증경재치료기출현과단폐혹쌍폐손상현상후우회복적병례.결론 급성백초고중독후측와위능감소폐부손해적범위,연장환자적생존시간,유리우폐대상공능적회복,제고생존솔.
Objective To evaluate curative effect of lateral position on the treatment of acute lung injury in paraquat poisoning. Methods Form January 2007 to October 2008 in emergency department, 42 patients of lung injury after paraquat poisoning were classified into two groups: control group and treatment group according to admission time and body position. 17 patients of optional body position in 2007 were selected as control group. 25 patients of lateral position in 2008 were selected as treatment group. Gastrolavage, catharsis, clyster and blood purification were carried out in both groups. The cases in both groups were analysed retrospectively, and the results were estimated according to CT. Results 6 patients survived and 11 patients died in control group, survival rates were 35 %;16 patients survived and 9 patients died in treatment group, survival rates were 64 %. 7 patients were "the one lung exists", and 15 patients recovered after the one lung or a pair of lung injury during the treatment among the 22 survival patients.Conclusion Lateral position could cut down the range of lung damages, prolong patient's survival time, be beneficial to the recovery of lung compensation, and improve survival rates.