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分析了 5 2例急性砷化氢中毒病例的中毒原因及机理 ,指出碱化尿液、足量糖皮质酮、驱砷、保肝等能使尿量正常的中毒者短期康复 ,并发ARF及中毒性脑病者则需早期充分血透配合血液滤过及降颅内压 ,并可在血透前 4h减量注射巯基类药物。
The causes and mechanisms of poisoning in 52 cases of acute arsine poisoning were analyzed. It was pointed out that the alkalization of urine, adequate amount of corticosterone, excretion of arsenic and liver protection could short-term rehabilitation of patients with normal urine output. Concurrent ARF and moderate Toxic encephalopathy is required in early full hemodialysis with hemofiltration and intracranial pressure, and 4h before hemodialysis injection of thiol-based drugs.