百草枯中毒患者预后相关因素分析

    Analysis of the factor influencing the prognosis of patients with paraquat poisoning

    • 摘要: 目的:探讨百草枯(PQ)中毒患者预后影响因素。方法:将89例急性PQ中毒患者根据疾病转归情况分为生存组(48例)和病死组(41例),分析2组患者性别、年龄、血PQ浓度、白细胞计数、血尿素氮、肌酐、丙氨酸氨基转移酶、天冬氨酸氨基转移酶、肌酸激酶同工酶、血钾等指标与预后的关系。结果:病死组的血PQ浓度、白细胞计数、血肌酐、血尿素氮、丙氨酸氨基转移酶、肌酸激酶同工酶、天门冬氨酸氨基转移酶均高于生存组,血钾低于生存组(P<0.05~P<0.01)。结论:血PQ浓度是影响预后的关键,白细胞计数、血肌酐、血尿素氮、丙氨酸氨基转移酶、肌酸激酶同工酶、天门冬氨酸氨基转移酶、血钾均是PQ中毒预后的影响因素。

       

      Abstract: Objective: To investigate the related factors influencing the prognosis of patients with paraquat(PQ) poisoning. Methods: Eighty-nine patients with acute PQ were divided into the survival group(48 cases) and death group(41 cases) according to the prognosis of disease. The relationship between gender, age, plasma PQ concentration, WBC count, BUN, Scr, ALT, AST, CKMB and K+ and the prognosis of PQ patients were analyzed. Results: The plasma PQ concentration, WBC count, Scr, BUN, ALT, CKMB and AST in death group were higher than those in survival group, but the plasma level of K+ in death group was lower than that in survival group(P<0.05 to P<0.01). Conclusions: Plasma PQ concentration is the key influencing prognosis factor in PQ patients, meanwhile, the WBC, Scr, ALT, CKMB, AST and plasma level of K+ affect also the prognosis of PQ patients.

       

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