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首页> 外文期刊>The international journal of artificial organs >Application of hybrid blood purification treatment for severe acute arsine poisoning.
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Application of hybrid blood purification treatment for severe acute arsine poisoning.

机译:混合血液净化技术在重症急性砷中毒中的应用。

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Severe acute arsine poisoning (SAAP) complicated by multiple organ dysfunction syndrome is a critical clinical illness. The limited efficacy of conventional drug therapy prompted us to investigate the application of hybrid blood purification treatment (HBPT) to improve the prognosis in critically ill patients. The present manuscript describes a series of cases treated with HBPT.Eleven SAAP subjects were enrolled. The study did not include a control group, because of ethical issues. On the basis of conventional therapy, HBPT (plasma exchange [PE] + continuous venovenous hemofiltration [CVVH]) was used to treat SAAP. PE was performed once a day for 5 days, and CVVH was performed after each session of PE for 7 days or more; HBPT treatment duration amounted to an average of 10 days (range 7-18 days). Arsenic was detected in blood and discarded liquid. Clinical indicators, laboratory parameters, and prognostic indicators were assessed.HBPT was smoothly implemented without obvious adverse reaction. It can continuously remove arsenic and terminate hemolysis in a time-dependent manner. HBPT also significantly improved the poor clinical manifestations and laboratory indicators of SAAP, leading to a low mortality. Ten patients were discharged because of improved conditions, and only 1 patient died.The early application of HBPT can improve the prognosis of SAAP. The advantage of HBPT is that it can integrate the characteristics of different blood purification technologies to maximize treatment efficacy.
机译:严重的急性砷中毒(SAAP)并发多器官功能障碍综合征是一种严重的临床疾病。常规药物治疗的疗效有限,促使我们研究混合血液净化治疗(HBPT)的应用,以改善重症患者的预后。本手稿描述了一系列用HBPT治疗的病例。招募了11名SAAP受试者。由于伦理问题,该研究未包括对照组。在传统疗法的基础上,使用HBPT(血浆置换[PE] +连续静脉血液滤过[CVVH])治疗SAAP。每天进行一次PE,持续5天,每次PE后进行CVVH 7天或更长时间; HBPT治疗持续时间平均为10天(范围7-18天)。在血液和废液中检测到砷。评估临床指标,实验室指标和预后指标。HBPT顺利实施,无明显不良反应。它可以以时间依赖的方式连续去除砷并终止溶血。 HBPT还显着改善了SAAP的不良临床表现和实验室指标,从而降低了死亡率。病情好转出院10例,死亡1例,早期应用HBPT可以改善SAAP的预后。 HBPT的优势在于它可以整合不同血液净化技术的特性,从而最大化治疗功效。

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