摘要
目的探讨毒蕈中毒患儿进行血浆置换的效果。方法4例患儿（男3例，女1例），年龄分别为2、6、6、8岁，食用野生蘑菇0．5—1h后出现恶心、呕吐、腹痛、腹泻等急性胃肠道症状。经常规治疗症状无明显缓解，且出现肝及心肌损害。（发病后2-3d）给予血浆置换及对症、支持治疗。密切观察病情。结果入住儿童重症监护中心2周后患儿病情均好转出院。结论及时进行血浆置换能提高毒蕈中毒的救治率。
Objective To investigate the effects of plasma exchange （PE） in treatment of venomous mushroom poisoning in children. Methods Four children, 3 boys and 1 girl, aged 2, 6, 6, and 8 respectively, took wild mushrooms and presented with nausea, vomiting, abdominal pain, diarrhea, and other gastrointestinal symptoms 0.5-1 hour later that failed to respond to conventional treatments. And liver failure and myocardial damage occurred soon. PE was given immediately （two or three days） after the onset of disease in addition to the conventional therapy. Close observation was conducted. Results After treatment in the pediatric intensive care unit all 4 pediatric patients showed significant improvement and were discharged 2 weeks later. Conclusion Application of PE without delay helps raise the cure rate of venomous mushroom poisoning.
出处
《中国急救复苏与灾害医学杂志》
2014年第6期491-493,共3页
China Journal of Emergency Resuscitation and Disaster Medicine
基金
军队临床高新技术重大项目（2010gxjs009）
关键词
毒蕈中毒
急性肝衰竭
血浆置换
Venomous mushroom poisoning
Acute liver failure
Plasma exchange
