2019年12月24日 星期二

血液灌注 charcoal hemoperfusion


可由活性炭血液灌注(charcoal hemoperfusion)排除之毒物:

Barbiturates [1]

 
Carbamazepine[2] 


Glutethimide[3]
 

Paraquat[4] 


Star Fruit [5]
 

Theophyllinehemoperfusion效果比hemodialysis [6]
 

Valproic acid.[7]


REFERENCES
 
1.      急性中毒救命術 急診醫學會 三版, p.378

2.      Peces R, Azorín S, Peces C, Selgas R. Tratamiento con hemoperfusión prolongada en la intoxicación aguda por carbamazepina [Extended hemoperfusion in the treatment of acute carbamazepine intoxication]. Nefrologia. 2010;30(1):127–130. doi:10.3265/Nefrologia.pre2010.Jan.10217

3. Peces R, Azorín S, Peces C, Selgas R. Tratamiento con hemoperfusión prolongada en la intoxicación aguda por carbamazepina [Extended hemoperfusion in the treatment of acute carbamazepine intoxication]. Nefrologia. 2010;30(1):127–130. doi:10.3265/Nefrologia.pre2010.Jan.10217

4 .Nasr Isfahani S, Farajzadegan Z, Sabzghabaee AM, Rahimi A, Samasamshariat S, Eizadi-Mood N. Does hemoperfusion in combination with other treatments reduce the mortality of patients with paraquat poisoning more than hemoperfusion alone: A systematic review with meta-analysis. J Res Med Sci. 2019;24:2. Published 2019 Jan 31. doi:10.4103/jrms.JRMS_478_18

5. Chan CK, Li R, Shum HP, et al. Star fruit intoxication successfully treated by charcoal haemoperfusion and intensive haemofiltration. Hong Kong Med J. 2009;15(2):149–152.

6. Shannon MW. Comparative efficacy of hemodialysis and hemoperfusion in severe theophylline intoxication. Acad Emerg Med. 1997;4(7):674–678. doi:10.1111/j.1553-2712.1997.tb03758.x

7. Peces R, Fernández EJ, Sánchez RJ, Peces C, Montero A, Selgas R. Tratamiento con hemoperfusión de la intoxicación aguda por ácido valproico [Hemoperfusion in the treatment of acute valproic acid intoxication]. Nefrologia. 2007;27(3):370–373.

-- edited 24th Dec, 2019 Yu-Jang Su.
 

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