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目的:探讨经外周动、静脉置管行血液灌流术在抢救儿科急性中毒中的应用和护理。方法:总结在重庆三峡中心医院收治的28例急性中毒患儿,采用经外周动、静脉置管行血液灌流术抢救治疗,经过严密观察和精心护理,防止并发症。结果:取得良好的治疗效果,治愈率占71.43%,因服药量太大死亡2例,因中毒重、时间长死亡3例,另有3例因病情和经济原因家属拒绝二次灌流放弃治疗。结论:经外周动、静脉置管行血液灌流术适用于经济条件相对落后地区儿童急性中毒的抢救。
Objective: To investigate the application of peripheral perfusion and venous catheterization for hemoperfusion in pediatric acute poisoning. Methods: Totally 28 children with acute poisoning who were treated in Chongqing Three Gorges Central Hospital were treated with peripheral perfusion and venous catheterization for hemoperfusion. After careful observation and careful nursing, complications were prevented. Results: Obtained good curative effect, the cure rate accounted for 71.43%. Two patients died due to too much medication, three died due to heavy poisoning and long time, and another three patients refused to give up treatment due to illness and economic reasons. Conclusion: Peripheral arterial and venous catheterization is suitable for the rescue of children acute poisoning in areas with relatively poor economic conditions.