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目的 :探讨肾功能不全患者并重症洋地黄中毒的有效抢救措施。方法 :回顾性分析肾功能不全患者并重症洋地黄中毒 14例的救治经过 ,比较常规内科治疗与血液净化治疗的效果。结果 :常规内科疗法不能迅速有效地降低血清洋地黄浓度及改善临床症状 ,单一血液透析 (HD)清除效果较差 ,采用血液灌流—血液透析串联治疗则疗效显著。结论 :血液灌流—血液透析串联治疗肾功能不全患者并重症洋地黄中毒疗效显著
Objective: To investigate the effective treatment of patients with renal insufficiency and severe digitalis poisoning. Methods: A retrospective analysis of 14 patients with renal insufficiency and severe digitalis poisoning after treatment, more conventional medical treatment and blood purification treatment effect. Results: Conventional medical therapy could not reduce the concentration of digitalis and improve the clinical symptoms quickly and effectively. The effect of single hemodialysis (HD) was poor, and hemoperfusion - hemodialysis in series was effective. Conclusion: Hemoperfusion - hemodialysis in patients with renal dysfunction and severe digitalis poisoning significant effect