Application of blood perfusion in 10 cases of acute aconitine poisoning
10例血液灌流在急性乌头碱中毒中的应用

摘要

目的 分析对比血液灌流在急性乌头碱中毒中的价值。方法 回顾分析2023年1月-2023年12月我科救治的10例乌头碱中毒患者临床资料，分析血液灌流对10例患者的危重状态评分、治疗效果及并发症发生率的影响。结果 治疗后10例患者的危重状态（采用APACHE Ⅱ评分）大幅改善，且治疗效果表明：显著6例、有效4例，治疗有效率100.00%；另外，并发症发生率显示：仅1例患者发生了便秘，并发症发生率较低（10.00%），无其他严重并发症。结论 在急性乌头碱中毒中，血液灌流可尽快平稳患者生命体征，且患者治疗后发生严重并发症的机率较低，有较好治疗效果与安全性。

Abstract

Objective To analyze and compare the value of blood perfusion in acute aconitine poisoning.
Methods A retrospective analysis was conducted on the clinical data of 10 patients with aconitine poisoning treated in our department from January 2023 to December 2023. The impact of blood perfusion on the critical state score, treatment efficacy, and incidence of complications of the 10 patients was analyzed.
Results After treatment, the critical condition of 10 patients (using APACHE II score) significantly improved, and the treatment effect showed that 6 cases were significantly improved and 4 cases were effective, with a treatment effectiveness rate of 100.00%; In addition, the incidence of complications showed that only one patient experienced constipation, with a low incidence of complications (10.00%) and no other serious complications.
Conclusion   In acute aconitine poisoning, blood perfusion can stabilize the patient's vital signs as soon as possible, and the probability of serious complications after treatment is low, with good treatment effect and safety.