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[儿童重度茶碱中毒。高通透性膜血液透析的价值]

[Severe theophylline poisoning in children. Value of hemodialysis with high permeability membrane].

作者信息

Kretz M, Fischbach M, Simeoni U, Farge A, Burtscher A, Geisert J, Juif J G

机构信息

Service de Pédiatrie, CHU Strasbourg-Hautepierre.

出版信息

Arch Fr Pediatr. 1988 Dec;45(10):821-2.

PMID:3240044
Abstract

The authors report a massive accidental ingestion of enteric-coated theophylline (Armophilline ) by a young child. A status epilepticus and elevated theophylline serum concentration (167 mg/l) led to use hemodialysis with high dialytic clearance. The elevated clearance was obtained by the use of high permeability membrane, by bicarbonate dialysate and the best quality of vascular access (Hickman catheter).

摘要

作者报告了一名幼儿意外大量摄入肠溶茶碱(氨茶碱)的病例。癫痫持续状态和血清茶碱浓度升高(167毫克/升)导致采用高透析清除率的血液透析治疗。通过使用高通透性膜、碳酸氢盐透析液以及最佳质量的血管通路(希克曼导管)实现了较高的清除率。

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