CAJ | 학술논문

目的：血液灌流串联血液透析治疗中、重度百草枯中毒的疗效探讨。方法对2010年4月至2013年6月我院急诊监护室（ emergency intensive care unit，EICU）收治的310例百草枯中毒患者进行回顾性分析，按照治疗方法的不同分为行早期反复HP＋HD治疗（服毒后24 h内接受HP≥2次）的急性百草枯中毒患者为治疗组（ A组），未进行HP＋HD的患者为对照组（ B组）进行对照研究，比较A组与B组患者的28天病死率。结果经随访A 组存活70例，病死率为69．6．2％；B 组存活10例，病死率为87．5％，两组患者病死率比较，差异具有高度统计学意义（χ2＝9．97，P＜0．005）。结论早期反复联合运用HP＋HD，能有效提高治愈率，改善预后。
목적：혈액관류천련혈액투석치료중、중도백초고중독적료효탐토。방법대2010년4월지2013년6월아원급진감호실（ emergency intensive care unit，EICU）수치적310례백초고중독환자진행회고성분석，안조치료방법적불동분위행조기반복HP＋HD치료（복독후24 h내접수HP≥2차）적급성백초고중독환자위치료조（ A조），미진행HP＋HD적환자위대조조（ B조）진행대조연구，비교A조여B조환자적28천병사솔。결과경수방A 조존활70례，병사솔위69．6．2％；B 조존활10례，병사솔위87．5％，량조환자병사솔비교，차이구유고도통계학의의（χ2＝9．97，P＜0．005）。결론조기반복연합운용HP＋HD，능유효제고치유솔，개선예후。
Objective To investigate the efficacy of current series in blood dialysis, severe paraquat poisoning blood perfusion.Methods In 2010 April to 2013 June in our hospital emergency intensive care unit (emergency intensive care unit, EICU) were retrospectively analyzed in 310 patients with paraquat poisoning were, according to the different treatment methods for early repeated HP+HD treatment ( poison within 24 h after HP is more than or equal to 2 times the accepted) of acute paraquat poisoning patients into the treatment group (group A), no HP+HD patients as control group (group B) were compared for the study, compared group A with group B for 28 day case fatality rate.Results After the follow-up group A of 70 cases were survival, mortality rate was 69.6.2%;group B of 10 cases were survival, mortality was 87.5%, compared two groups of patients with mortality rate, highly statistically significant differences (χ2 =9.97, P<0.005).Conclusions Early repeated using a combination of HP+HD can effectively improve the cure rate, improve prognosis.