摘 要: 急性百草枯(PQ)中毒病死率高,影响PQ中毒预后的相关因素也较多,例如血液和尿液中的PQ浓度,血液中白细胞、中性粒细胞数量,肌酐、乳酸、血糖水平、血淀粉酶等,数值升高越明显,死亡风险越大;肺脏影像学改变,磨玻璃影面积越大,脏器衰竭功能评分越高,也是患者预后不良的危险因素。血液灌流、糖皮质激素和血必净注射液等则是改善预后的重要治疗措施。 |
关键词: 百草枯(PQ) 中毒 预后 |
中图分类号: R595.4
文献标识码: A
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基金项目: |
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Prognosis related factors in acute paraquat poisoning |
LIU Jing-yan
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Respiratory Department of Shenzhen Samii International Medical Center,Shenzhen 518118,China
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Abstract: Acute paraquat(PQ)poisoning was a common poisoning and has higher mortality. Many studies have observed that there were a lot of prognostic factors for PQ poisoning. Such as blood and urine concentrations of PQ, the blood numbers of leukocyte and neutrophil, levels of creatinine, lactic acid, glucose, and activity of amylase in blood, etc., the higher the value rised, means the greater the risk of death became. Additionally, there was the changes of imaging of lung, the larger the area of pulmonary ground glass shadow, the higher the score of organ failure as well. While blood perfusion, glucocorticoid and Chinese herb Xuebijing injection are the main treatment measures of improving the prognosis of PQ poisoning. |
Keywords: paraquat(PQ) poisoning prognosis |