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目的:探讨急性乌头碱中毒的临床救治措施与体会。方法:选取保山市人民医院2010年1月—2013年12月收治的25例急性乌头碱中毒的患者为观察研究对象,分析中药的安全性及临床合理应用问题,指导临床对于中药中毒后的抢救实践。结果:25例急性乌头碱中毒患者有13例进行口服催吐剂,12例洗胃。所有病例均给予吸氧并心电监护、开通静脉补液。所有患者全部治愈,3例心律失常在10 h内得以纠正,各种症状均在24 h内缓解。结论:中药安全性与多种因素相关,急性乌头碱中毒时病情危急,综合性的救治措施有利于救治患者,保障生命安全,具有积极的应用值。
Objective: To investigate the clinical treatment and experience of acute aconitine poisoning. Methods: Twenty-five patients with acute aconitine poisoning admitted from January 2010 to December 2013 in People’s Hospital of Baoshan City were selected as observational subjects. The safety and clinical application of traditional Chinese medicine were analyzed to guide clinical application of traditional Chinese medicine Rescue practice. Results: Twenty-five patients with acute aconitine poisoning had oral emetic and 13 gastric lavage. All cases were given oxygen and ECG monitoring, open intravenous rehydration. All patients were cured, 3 cases of arrhythmia were corrected within 10 h, various symptoms were relieved within 24 h. Conclusion: The safety of traditional Chinese medicine is related to many factors. The acute condition of acute aconitine poisoning is critical. The comprehensive treatment measures are helpful to the treatment of patients and ensure the safety of life, and have positive application value.