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对内服大剂量药物急性中毒合并呼吸循环衰竭.内科保守治疗病死率很高。我院近2年来采用人工肾血液透析疗法(简称血透),治疗7例,效果较满意,现报告如下。临床资料:1.药物种类:本组7例中口服安宁2例,速可眠4例,冬眠灵1例。2.中毒程度:7例均为深昏迷。瞳孔缩小5例,散大2例。对光反射消失5例,迟钝2例。各项生理反射消失7例。合并肺水肿2例,脑水肿3例,吸入性肺炎3例,休克7例。呼吸衰竭7例,呼吸停止3例,心脏骤停1例,急性肾衰1例。3.服药至血透开始时间:最短6小时10
A large dose of oral administration of acute poisoning combined respiratory failure. Conservative medical treatment of high mortality. Our hospital nearly 2 years using artificial renal hemodialysis therapy (referred to as hemodialysis), the treatment of 7 cases, the effect is more satisfactory, are as follows. Clinical data: 1. Types of drugs: The group of 7 cases of oral tranquility in 2 cases, 4 can be as fast as sleep, winter sleep in 1 case. 2. Poisoning degree: 7 cases are deep coma. Miosis in 5 cases, scattered in 2 cases. Reflected light reflex in 5 cases, 2 cases of dull. The physiological reflex disappeared in 7 cases. 2 cases of pulmonary edema, cerebral edema in 3 cases, 3 cases of aspiration pneumonia, shock in 7 cases. Respiratory failure in 7 cases, respiratory arrest in 3 cases, cardiac arrest in 1 case, acute renal failure in 1 case. 3. medication to hemodialysis start time: the shortest 6 hours 10