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目的观察血液净化治疗急性铊中毒的疗效,并探讨其安全性和有效性。方法对到我院就治的铊中毒患者在综合治疗的基础上进行血液净化治疗,观察其对血铊、尿铊的影响。结果经过3～10次血液净化治疗,3例患者血、尿铊浓度下降明显,血、尿铊浓度基本接近正常,3例患者出院时临床症状明显减轻,肝肾功、心肌酶谱恢复正常,神经系统查体均阴性表现。结论血液净化治疗急性铊中毒安全、有效。
Objective To observe the curative effect of blood purification on acute thallium poisoning and to explore its safety and effectiveness. Methods The patients with thallium poisoning treated in our hospital were treated with blood purification on the basis of comprehensive treatment, and the effects on thallium and urinary thallium were observed. Results After 3 to 10 times of blood purification treatment, blood and urine thallium concentrations decreased significantly in 3 patients, blood and urine thalidomide concentrations were nearly normal, and clinical symptoms of 3 patients were significantly relieved when discharged from hospital. Liver, kidney, and myocardial enzymes returned to normal, Neurological examination showed negative results. Conclusion Blood purification is safe and effective in treating acute thallium poisoning.