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腹膜透析适用于急慢性肾衰、尿毒症,并已逐步用于临床急性药物和毒物中毒的抢救。我科自1993年1月~1994年12月收治8例重度氟乙酰胺中毒病人,因病人频繁抽搐,病情垂危,不能行腹膜透析植管术,我们即采用单针穿刺置管法进行腹膜透析,赢得了抢救时间。取得了较好的临床效果。 1 临床资料 本组8例患儿,均为男性,年龄1~4岁3例,4.5~6岁4例,6.5~8岁1例。均为误服氟乙酰胺(农药)半小时~1小时后发病,因当地未予处理即送往我院,就诊时8例患儿均口唇紫绀,呼吸困难,反复发作强直性痉挛。其中6例已呈昏迷状态,2例伴有心律失常,室性早搏。因本组患儿均在服毒2~4小时后来院,药物已吸收入血,洗胃效果不佳,且
Peritoneal dialysis for acute and chronic renal failure, uremia, and has been gradually used in clinical acute drug and poisoning rescue. Our department from January 1993 to December 1994 admitted to eight patients with severe fluoroacetamide poisoning, due to frequent convulsions, dying, can not underwent peritoneal dialysis and vascular surgery, we use single-needle peritoneal catheterization catheterization method , Won the rescue time. Has achieved good clinical results. 1 Clinical data The group of 8 patients, both men, aged 1 to 4 years in 3 cases, 4.5 to 6 years in 4 cases, 6.5 to 8 years in 1 case. Fluoride acetamide (pesticide) were mistaken for half an hour to 1 hour after the onset of the disease because of untreated locally sent to our hospital, treatment of children with cyanotic lips were 8 cases, dyspnea, recurrent tonic spasms. 6 cases were unconscious, 2 cases with arrhythmia and premature ventricular contractions. Because of this group of children in the poison after 2 to 4 hours to the hospital, the drug has been absorbed into the blood, gastric lavage ineffective, and