集束救治策略在急性阿维菌素重度中毒的应用分析

摘要

Objective To improve the treatment method for acute avermectin poisoning.Methods We used bundles strategy in treatment for 25 cases with acute severe avermectin poisoning,the main methods include:① the clear water for gastric lavage,mannitol for catharsis,Niaoduqing for detox; ②preventive trachea intubation,protective mechanical ventilation; ③bedside hemoperfusion treatment.Result 24 cases(96.0％) were cured and one death(4.0％) in this group of patients after 7～16 days of treatment.19 cases with hemoperfusion in one time,and 6 cases in twice.Mechanical ventilation time was 3.3～ 11.4 days in cured patients.Conclusion Bundles treatment strategy is an effective first-aid measure for rescuing acute avermectin poisoning.%目的 改进急性阿维菌素重度中毒的救治方法.方法 应用集束救治策略抢救急性阿维菌素重度中毒25例,主要方法包括:①清水洗胃,甘露醇导泻,尿毒清排毒.②预防性气管插管,保护性机械通气.③床旁血液灌流治疗.结果 本组患者经7～ 16d治疗,治愈24例(96.0％),死亡1例(4.0％).血液灌流1次19例,2次6例.治愈者机械通气时间3.3～ 11.4d.结论 集束救治策略是抢救急性阿维菌素重度中毒有效的急救措施.