捐腑姣蹇姝绘锛

涓ヤ涔跺寮濮锛姣浜哄ㄧ缁涓琛ㄦ斥捐腑姣姹淇℃灏变璁稿缃ㄨ璁轰腑瑙ｈ濡捐璇锛寤鸿澶锛存20姣锛娌℃瑙ｈ姝讳骸100%锛涓涓芥涓ワｄ娲荤芥拱浜捐涔绫荤璇

锛缃璇璁烘撅

冲浜烘虹捐腑姣涓姝绘讹杩浼缃涓蹇姝绘

锛缃璇璁烘撅

瀵规ｈ瀹跺璇磋风璇绌剁涓灏涓涓璁猴鹃捐腑姣灏辨病杩甯浜锛

涓韪楝奸ㄥ筹涔涓绛浜交搴缁

璇讹捐绉瀵逛汉轰钩ㄧ╁锋寮烘х涔纭娌℃瑰цВ姣╋浣瑕澶缃纭㈡讹杩涓瀹娌诲

绠ラ涓浜藉澶氨浠ョ帮捐腑姣姝讳骸纭寰楂锛浣骞舵病杈惧扳蹇姝绘绋搴灏ゅ舵杩骞存ワ绉荤姘村钩灞锛捐腑姣娌绘涔楂涓绡2010骞村琛ㄧ璁烘俱

瑙锛杩骞存ワ藉澶涓村缁璁＄捐腑姣姝讳骸澶ц村50锝80%涔锛充娇扮璁￠婕涓浜氨荤涓锛捐腑姣瀹存涔搴璇ヤ90%

捐腑姣虹风锛

锛捐浜轰姣哄惰娌℃瀹ㄦ‘锛界涓昏哄跺姘ц卞烘浼ゃ缁瀛杩搴俱绾跨浣浼ゅ寸浜°褰卞缁淇″杞绛寰瀵规轰涓浼ゃ

捐婧朵按锛琚汉浣告讹缁ゅ煎搁杩ヤ汉浣变汉浣轰腑涓绉澶鸿浆杩浣锛捐绉瀛ｈ虹绫伙姝よ轰瀵瑰朵骇╂у搁捐ヨ烘场缁瓒姘ч寸瀛″堕崇瀛锛杩浜х姘ц卞猴瀵艰寸ㄥ缁缁瑰介纰姝わ瀵逛捐腑姣ｈ锛ㄦ娌诲涓寤鸿缁浜告哀锛楂姘х澧灏ц洪ㄧ姘у浼ゃ

讹姝ｅ父典浜轰郴缁浼娓ゅ浜＄缁锛捐腑姣澶ф圭锛浼杩婵娲昏锛浜х杩瓒杩姝ｅ父缁瀛锛璇卞杩搴搴杩缁瀛瀹宠绠★寮璧疯锛ㄨ韩寰惊纰澶ㄥ借“绔

ㄧ捐腑姣锛烘场杩琛淇讹绾ょ淮缁杩搴娈锛瀵艰存ｈ虹虹氦缁村讹缁虹姘т氦㈠戒抚澶憋ｈ变己姘ц姝讳骸

捐腑姣娌荤抽锛

1姣绱告

捐杩娑琚汉浣告讹杩ヨ娑插揩甯板骞惰琚洪╂у告惰涓ラ烘浼ゃ姝わ灏藉藉姣绱琚告跺ヨ锛娌绘绗涓抽

缁ゅ告剁捐腑姣ｈ锛搴灏藉揩ゅ琚薄琛ｇ╋ㄥぇ娓姘存寮辩⒈ф恫浣叉ゃ

瀵逛捐腑姣ｈ锛绗堕寸娲绘х藉娲绘х贩恫锛芥捐楂瀛锛缇界炬涓锛CDC锛‘轰杩涓广杩涓虹捐琚澹ゆ娲绘х搁锛搁氨寰捐浜轰告朵变椿х藉娲绘х锛板跺娉ュ姘寸ㄥ绠杩婊ょｈ涓锛涔借捣拌濂界瓒╋瓒濂斤ュ凡杩涓灏跺涓蹇ｈ诲搴灏芥╀浠ュ娲瀵兼郴绛瀵圭澶缃

锛缇CDC瀵圭捐浠缁缃椤垫撅

2よ姣绱

琛娑插娌荤捐腑姣瑕锛蜂╄濂斤ㄥぇ澶版绱灏ュ涓ㄥ涔锛杩琛琛娑插锛よ娑蹭腑姣绱澶у版涓鸿娑插搴ㄤ腑姣2灏跺杩琛锛杩涓哄捐腑姣ｈ2灏跺绱冲杈惧拌娴娴搴嘲硷杩涓寰瓒杩涓6锝12灏躲

甯哥ㄧ琛娑插规琛娑茬娴缁ц娑插琛娴缃㈢锛朵腑浠ヨ娑茬娴娌绘涓烘俱瑕娉ㄦ捐藉娆′缁朵ㄥ涓ヨ娑诧缁ц瀵拌洪浜娆′腑姣锛姝琛娑插澶澶娆¤琛

3╂不

瀵圭捐腑姣哄舵哀卞烘浼ゅ郴缁杩搴娲伙藉澶涓村姘у╁跺搴ㄧ娌荤规甯哥ㄨ╂璋疯辩姐缁寸绱C瑜绱渚杈炬濂绛姘у绯川婵绱锛濡板绫虫撅纾烽拌烘不瀵硅瀛琛锛杩瑕浠ユ琛娌荤

讹杩搴杈浠ユ浼ゆ不绾姝ｇ佃В璐ㄧ涔便瀵娴惧藉苟淇よ剧杈╂不规

杩骞存ワ杩绌跺47棰茶洪ㄧ氦缁村ゆ涔澶锛杩娲灏涓涓绯诲拌涓捐浜涓虹缁缁缁浣癸浣垮凡缁捐轰腑惧烘ャ

4瀹澶璇瑙瀵

变捐腑姣锋浜娆′腑姣规эｈ瑕杈挎锛瀹澶璇杩琛稿虫ワ涓绗舵娌荤氨浠ヨ交蹇浠ョ荤姘村钩锛杞诲害捐腑姣杈澶у娌绘锛涓害涓ョ涓堕村缃褰锛涔瀛斤搴腑姣娌荤惧害澶э存楂藉甯哥ㄧ捐负20%娴搴姘村锛甯告ラ20mg/kg锛涔灏辨50kg浜烘涓浜涓5ml姘村讹娌绘甯杈楂

锛琛ㄦ煎4锛

瀵逛捐腑姣ｈ锛宸插虹氦缁村锛濡′欢璁革琛浣澶烘哀锛ECMO锛锛╃ㄤ澶寰ㄥ夸唬蹇哄斤缁存浜轰蹇瑕渚姘э绛寰绉绘烘

荤ヨ锛界剁捐腑姣姝讳骸纭甯搁锛浣骞舵揪扳蹇姝绘绋搴濡ｈョ绠楂锛澶у涓蹇╅拌100%姝讳骸ユ绘ｈ瀹跺

讹涔甯村浜轰瑙ｇ捐腑姣椤荤崇娉ユ按锛骞跺敖蹇伙涓涓瑕借浜瀹璐电娌绘堕淬

斤杩绂荤捐

1. Wu WP, Lai MN, Lin CH, Li YF, Lin CY, Wu MJ. Addition of immunosuppressive treatment to hemoperfusion is associated with improved survival after paraquat poisoning: a nationwide study. PLoS One. 2014 Jan 27;9(1):e87568. doi:10.1371/journal.pone.0087568. eCollection 2014.

2. Hong SY, Lee JS, Sun IO, Lee KY, Gil HW. Prediction of patient survival in cases of acute paraquat poisoning. PLoS One. 2014 Nov 21;9(11):e111674. doi:10.1371/journal.pone.0111674. eCollection 2014.

3. Gawarammana IB, Buckley NA. Medical management of paraquat ingestion. Br J Clin Pharmacol. 2011 Nov;72(5):745-57. doi: 10.1111/j.1365-2125.2011.04026.x.

4. 涓.ユх捐腑姣璇娌讳腑搴娉ㄦ[J].涓村ヨ蹇,2015,(10):742-745.

5. 榛淇.捐腑姣缁煎娌荤规绌[D].涓戒汉姘瑙ｆ惧浜诲绉瀛,2013.

6. 涓,寮,瀹,箍,冲,璧垫尝,褰,瀹,寮蹇,浼,寮浼,宄,,蹇浼,ㄥ,娲,浜褰,瀛濠.捐腑姣娌烩榻椴规(2014)[J].涓藉伐涓诲蹇,2014,(02):119-121.