中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2014年
7期
39-39,41
,共2页
肝脏毒素%肝性脑病%人工肝
肝髒毒素%肝性腦病%人工肝
간장독소%간성뇌병%인공간
The liver of toxins%Hepatic encephalopathy%Artiifcial liver
目的：观察肝脏毒素型蘑菇中毒治疗方案疗效。方法取近10年11例肝脏型蘑菇中毒患者，急诊给予一般处理包括催吐、洗胃、导泻、补液，药物治疗包括保持足够热量，补充维生素、给予保肝药物，输新鲜血浆，纠正凝血异常。同时控制脑病，包括去除诱因，减少毒物的生成和吸收，促进有毒物质的代谢清除，防止脑水肿，保护脑细胞，所有患者均联合血液透析、血液灌流。结果11例患者有5例短期内临床表现及实验室指标好转，最终有3例患者治愈出院。结论肝脏损害型蘑菇中毒发展到重度肝性脑病阶段，病死率极高；对于早期脑病给予积极地全面的干预治疗，可以提高患者生存希望。
目的：觀察肝髒毒素型蘑菇中毒治療方案療效。方法取近10年11例肝髒型蘑菇中毒患者，急診給予一般處理包括催吐、洗胃、導瀉、補液，藥物治療包括保持足夠熱量，補充維生素、給予保肝藥物，輸新鮮血漿，糾正凝血異常。同時控製腦病，包括去除誘因，減少毒物的生成和吸收，促進有毒物質的代謝清除，防止腦水腫，保護腦細胞，所有患者均聯閤血液透析、血液灌流。結果11例患者有5例短期內臨床錶現及實驗室指標好轉，最終有3例患者治愈齣院。結論肝髒損害型蘑菇中毒髮展到重度肝性腦病階段，病死率極高；對于早期腦病給予積極地全麵的榦預治療，可以提高患者生存希望。
목적：관찰간장독소형마고중독치료방안료효。방법취근10년11례간장형마고중독환자，급진급여일반처리포괄최토、세위、도사、보액，약물치료포괄보지족구열량，보충유생소、급여보간약물，수신선혈장，규정응혈이상。동시공제뇌병，포괄거제유인，감소독물적생성화흡수，촉진유독물질적대사청제，방지뇌수종，보호뇌세포，소유환자균연합혈액투석、혈액관류。결과11례환자유5례단기내림상표현급실험실지표호전，최종유3례환자치유출원。결론간장손해형마고중독발전도중도간성뇌병계단，병사솔겁고；대우조기뇌병급여적겁지전면적간예치료，가이제고환자생존희망。
Objective To observe the liver toxin type mushroom poisoning curative effect of treatment. Methods Take nearly 10 years, 11 cases of liver type mushroom poisoning patients, emergency treatment to give general processing include vomiting, gastric lavage, catharsis, rehydration, drug treatment include keeping enough quantity of heat, vitamin, to protect liver medicine, lose of fresh plasma, correct coagulopathy. Control encephalopathy, including removal of incentives, reduce the generation of toxicant and absorption, promote metabolism to remove toxic substances, prevent cerebral edema, protect brain cells, all patients were combined hemodialysis, blood perfusion. Results 11 patients have five short-term clinical manifestations and laboratory parameters better, the ifnal three patients cured discharged from hospital. Conclusion the development of liver damage type of mushroom poisoning to severe hepatic encephalopathy phase, high mortality rate. For early encephalopathy to actively comprehensive intervention treatment, the hope can improve the patients survival.
