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目的探讨血液透析救治毒蕈中毒患者的有效性。方法对10例毒蕈中毒致急性肾功能衰竭合并中毒性肝炎或中毒性心肌炎患者进行血液透析和综合治疗。结果本组10例患者经过血液透析及综合治疗,无尿期2～15d,平均4.5d;血透2～8次,平均4次;住院4～30d,平均16d。除1例合并肝功能衰竭患者死亡外,其余9例救治成功,随访半年,无后遗症。结论血液透析救治毒蕈中毒是有效的,但在救治方法中,血液透析和腹膜透析孰优孰劣,尚须进一步研究。
Objective To investigate the effectiveness of hemodialysis in the treatment of poisonous mushroom poisoning patients. Methods Hemodialysis and comprehensive treatment were performed in 10 cases of patients with poisoning or poisoning caused by acute renal failure complicated with toxic hepatitis or toxic myocarditis. Results The group of 10 patients after hemodialysis and comprehensive treatment, anuria 2 ~ 15d, an average of 4.5d; hemodialysis 2 ~ 8 times, an average of 4; hospitalized 4 ~ 30d, an average of 16d. In addition to 1 patient died of liver failure, the remaining 9 cases were successfully treated, followed up for six months, no sequelae. Conclusion Hemodialysis is effective in the treatment of poisoned mushroom poisoning. However, hemodialysis and peritoneal dialysis in the treatment of hemodialysis and peritoneal dialysis which is better, still need further study.