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血液灌流的利弊(作者译)

[The pros and cons of haemoperfusion (author's transl)].

作者信息

Hennemann H, Richter I E, Brunswig D, Röckel A, Kult J, Gattenlöhner W, Heidland A

出版信息

Klin Wochenschr. 1977 Jun 1;55(11):533-7. doi: 10.1007/BF01489348.

Abstract

6 patients with severe self-poisoning were treated by charcoal-haemoperfusion in our centre up to now. In four of them (all suffering from sleeping drug overdosage) the treatment was successful. Two patients with intoxications by agrochemicals died in spite of haemoperfusion. Side effects of haemoperfusion were drops of blood pressure and platelet count, depletion of immune bodies, and adsorption of remedies. Up to now, the indication for haemoperfusion has to consider these secondary actions of encapsulated charcoal as inevitable.

摘要

截至目前,我们中心对6例严重自我中毒患者进行了活性炭血液灌流治疗。其中4例(均为安眠药过量中毒)治疗成功。2例农药中毒患者尽管进行了血液灌流仍死亡。血液灌流的副作用包括血压下降、血小板计数降低、免疫抗体消耗以及药物吸附。截至目前,血液灌流的适应证必须考虑到包裹活性炭的这些不可避免的继发作用。

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