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摘要: <正>临床上,因进食鱼胆所致中毒者时有发生,以进食12枚鱼胆多见,通常以胃肠道症状、肝、肾损伤为主,既往经血液透析（hemodialysis,HD）、HD联合血液灌流（hemoperfusion,HP）、连续性静脉-静脉血液滤过（continuous veno-venous hemofiltration,CVVH）抢救成功的案例多有报道,而大量鱼胆中毒患者少见,现将本科应用连续性静脉-静脉血液透析滤过(con-
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Key words:
- liver failure /
- poisoning /
- hemodiafiltration /
- hemoperfusion /
- case reports
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[1]CHEN XH.Application of blood purification in the Intensive Care Unit[M].Beijing:Science and Technology Literature Publishing House,2012:48-255.(in Chinese)陈晓辉.血液净化在ICU的应用[M].北京:科学技术文献出版社,2012:48-255. [2]ASAKAWA M,NOGUCHI T.Food poisonings by ingestion of cyprinid fish[J].Toxins(Basel),2014,28,6(2):539-555. [3]ZHANG L,ZHANG WC.Research advances in diagnosis and treatment of fish bile poisoning[J].Shandong Med J,2010,50(25):113-114.(in Chinese)张磊,张武臣.鱼胆中毒临床诊治研究进展[J].山东医药,2010,50(25):113-114. [4]SHEN T.Treatment of acute renal failure caused by fish bile poisoning[J].China Foreign Med Treatment,2014,(10):98-99.(in Chinese)沈涛.鱼胆中毒致急性肾功能衰竭的救治探讨[J].中外医疗,2014,(10):98-99. [5]ZOU JH,WANG YF.Clinical effect of hemodialysis in treatment of patients with acute renal failure caused by fish bile poisoning[J].Clin Ration Drug Use,2015,8(11):9-10.(in Chinese)邹建华,王月芳.血液透析治疗鱼胆中毒致急性肾功能衰竭患者的临床效果观察[J].临床合理用药,2015,8(11):9-10. [6] CHEN GM,CHEN XL,WANG CF,et al.Application of plasma exchange therapy to treat fish bile poisoning in children with hepatic damage[J].China J Emerg Resu Disast Med,2016,11(4):373-376.(in Chinese)陈光明,陈秀丽,王承峰,等.血浆置换治疗以肝脏损害为突出表现的儿童鱼胆中毒[J].中国急救复苏与灾害医学杂志,2016,11(4):373-376. [7]LI Y,HUANG HH.Hemodiafiltration combined hemoperfusion treatment of severe fish gallbladder poisoning of 15 cases[J].Pract J Cardiac Cereb Pneum Vasc Dis,2012,20(6):1063-1064.(in Chinese)李英,黄汉红.血液透析滤过联合血液灌流治疗重度鱼胆中毒15例分析[J].实用心脑肺血管病杂志,2012,20(6):1063-1064. -
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