川北医学院学报
川北醫學院學報
천북의학원학보
JOURNAL OF NORTH SICHUAN MEDICAL COLLEGE
2014年
5期
514-520
,共7页
百草枯%中毒%机制%治疗
百草枯%中毒%機製%治療
백초고%중독%궤제%치료
Paraquat%Poisoning%Mechanism%Treatment
百草枯是一种广泛使用的剧毒除草剂。因其便宜而且有效,在发展中国家大量使用,这让预防中毒很困难。百草枯中毒主要以自杀者口服多见,因其无特效解毒药,其致死率和致残率很高。早期多死于多器官功能衰竭,晚期多死于不可逆转的肺纤维化而致的呼吸衰竭。其有多种致损伤机制,治疗以综合治疗为主,最大程度地减少吸收和清除血浆中的百草枯负荷是治疗的首要措施。现就近年来百草枯致损伤机制和治疗方案的研究做一综述。
百草枯是一種廣汎使用的劇毒除草劑。因其便宜而且有效,在髮展中國傢大量使用,這讓預防中毒很睏難。百草枯中毒主要以自殺者口服多見,因其無特效解毒藥,其緻死率和緻殘率很高。早期多死于多器官功能衰竭,晚期多死于不可逆轉的肺纖維化而緻的呼吸衰竭。其有多種緻損傷機製,治療以綜閤治療為主,最大程度地減少吸收和清除血漿中的百草枯負荷是治療的首要措施。現就近年來百草枯緻損傷機製和治療方案的研究做一綜述。
백초고시일충엄범사용적극독제초제。인기편의이차유효,재발전중국가대량사용,저양예방중독흔곤난。백초고중독주요이자살자구복다견,인기무특효해독약,기치사솔화치잔솔흔고。조기다사우다기관공능쇠갈,만기다사우불가역전적폐섬유화이치적호흡쇠갈。기유다충치손상궤제,치료이종합치료위주,최대정도지감소흡수화청제혈장중적백초고부하시치료적수요조시。현취근년래백초고치손상궤제화치료방안적연구주일종술。
Paraquat is an effective and widely used herbicide but also a lethal poison. In many developing countries paraquat is wide-ly available and inexpensive, making poisoning prevention difficult. However, most of the people poisoned by paraquat taken it as a means of suicide. Because of its no specific antidote,it leads to high mortality and disability rate. Early death is caused by multiple or-gan failure,and later ones by irreversible pulmonary fibrosis and respiratory failure. It has a variety of damage mechanism,so compre-hensive treatment is priority to given in treatment. Standard treatment for paraquat poisoning both prevents further absorption and re-duces the load of paraquat in the blood through haemoperfusion or haemodialysis. This paper reviews about the researches of paraquat injury mechanism and treatment in resent years.