患者:您好,我老父亲今年77了,身体一直很好,由7天前吃了2汤匙的花粉引起中毒,毒性很大,引起肝肾急性衰竭,出现溶血现象,以潜意识昏迷。 经过6 天的急诊抢救,用的是血透和西药治疗,肝肾功能逐步恢复,可是小便便血量不多,纳闷是潜意识昏迷, 求助您是否有治疗花粉中毒特效药?怎么解决昏迷不醒?衡阳市中心医院急诊科欧阳茴香:许多植物性中毒相当严重,它可以有“胃肠毒”“溶血毒”“神经毒”等,中毒后主要有肝肾心脑神经等损害,最严重的溶血反应可迅速危及生命。 从你描述的你父亲的情况看,可能同时有多种毒性存在,应该是最严重的一种。治疗上血透是较好的一种方法,还可以采取“血液灌流”或者“血浆置换”,但是费用较高。药物方面主要是肾上腺皮质激素和脏器保护性治疗。昏迷的原因与脑神经损害和全身状况相关,你目前的资料不详细。
衡阳市中心医院急诊科欧阳茴香:头部受撞击,30分钟内CT结果仅供参考,不能完全反映受伤真实情况。应该继续密切观察,6小时左右复查CT,即使仍然正常,还要根据病情、症状和体征,通常观察24小时到48小时。 你的情况应该还要到专科医师复诊,必要时还得复查头部CT。第一次的CT是应该做的,主要是排除了大的出血及明显的颅骨骨折。
【Abstract】Objective: to study the influence of sodium dimercaptosulfonate (Na-DMPS) on serum enzyme level of tertramine poisoned patients and its clinic curative efficiency. Methods: 56 cases of tertramine poisoning were divided into experimental group and controlled group. The patients in the controlled group were treated with diazepam and conventional therapy while those in the experimental group were treated with Na-DMPS, diazepam and conventional therapy. Serious poisoning cases were all treated with hemoperfusion. The change of the concentrations of serum creatine kinase (CK), creatine kinase MB (CK-MB), lactate dehydrogenase (LDH), -hydroxybutyrate dehydrogenase (-HBDH) and aspartate trasaminase (AST) before treatment and after 12 and 24 hours of treatment were analyzed and compared. The convulsion frequency of patients was also compared. Results: all the patients showed highly increased serum enzyme level before treatment. After treatment, the serum enzyme level of the experimental group were much more lowered than that of controlled group after treatment with significant difference (P