Tyagi Pallavi K, Winchester James F, Feinfeld Donald A
Division of Nephrology and Hypertension, Department of Medicine, Beth Israel Medical Center, New York, New York, USA.
Kidney Int. 2008 Nov;74(10):1231-3. doi: 10.1038/ki.2008.476.
Holubek et al. reviewed data on extracorporeal removal (ECR) of toxins from the Toxic Exposure Surveillance System (TESS) from 1985 to 2005. Hemodialysis use increased, but hemoperfusion nearly disappeared. Lithium, ethylene glycol, salicylate, and, increasingly, acetaminophen still often necessitate hemodialysis; ECR for theophylline has disappeared. TESS data do not separate continuous renal replacement therapy from hemodialysis, and not all poisonings were reported in this system. Nonetheless, these trends are useful to the nephrology community.
霍卢贝克等人回顾了1985年至2005年期间来自毒物暴露监测系统(TESS)的毒素体外清除(ECR)数据。血液透析的使用增加了,但血液灌流几乎消失了。锂、乙二醇、水杨酸盐,以及越来越多的对乙酰氨基酚仍常常需要进行血液透析;茶碱的体外清除已消失。TESS数据未将连续性肾脏替代治疗与血液透析区分开来,且该系统并未报告所有中毒情况。尽管如此,这些趋势对肾脏病学界还是有用的。