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活性炭珠血液灌流柱治疗严重药物中毒的经验。初步报告。

Experience with activated carbon-bead haemoperfusion columns in the treatment of severe drug intoxication. A preliminary report.

作者信息

Raper S, Crome P, Vale A, Helliwell M, Widdop B

出版信息

Arch Toxicol. 1982 Mar;49(3-4):303-10. doi: 10.1007/BF00347878.

Abstract

Five patients who were severely poisoned with hypnotic drugs, paracetamol, or theophylline were treated by charcoal haemoperfusion. The device contained 160 g of activated carbon beads with a polyester coating. Four patients made a significant improvement; one subsequently died from a cerebral haemorrhage which had occurred prior to haemoperfusion. Platelet losses were minimal and no fibrinolysis was observed. No significant biochemical abnormality occurred as a result of haemoperfusion, although one patient, who presented with hypocalcaemia, required intravenous calcium throughout the procedure.

摘要

五名因服用催眠药、对乙酰氨基酚或茶碱而严重中毒的患者接受了活性炭血液灌流治疗。该装置包含160克带有聚酯涂层的活性炭珠。四名患者病情显著改善;一名患者随后死于血液灌流前发生的脑出血。血小板损失极少,且未观察到纤维蛋白溶解现象。血液灌流未导致明显的生化异常,尽管一名出现低钙血症的患者在整个过程中需要静脉补钙。

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Treatment of severe drug overdosage with charcoal hemoperfusion.用活性炭血液灌流治疗严重药物过量。
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本文引用的文献

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Haemoperfusion for theophylline overdose.血液灌流治疗茶碱过量。
Br Med J. 1980 May 10;280(6224):1167. doi: 10.1136/bmj.280.6224.1167.
5
Activated charcoal hemoperfusion and experimental acetaminophen poisoning.
Toxicol Appl Pharmacol. 1975 Jan;31(1):120-7. doi: 10.1016/0041-008x(75)90059-9.
7
8
Removal of theophylline from the body by haemoperfusion.通过血液灌流从体内清除茶碱。
Clin Pharmacokinet. 1979 Jul-Aug;4(4):320-1. doi: 10.2165/00003088-197904040-00005.
9
Theophylline-induced seizures in adults. Correlation with serum concentrations.
Ann Intern Med. 1975 Jun;82(6):784-7. doi: 10.7326/0003-4819-82-6-784.

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