NHẬN XÉT KẾT QUẢ LỌC MÁU HẤP PHỤ TRONG ĐIỀU TRỊ BỆNH NHÂN NGỘ ĐỘC CẤP TẠI TRUNG TÂM CHỐNG ĐỘC BỆNH VIỆN BẠCH MAI GIAI ĐOẠN 2024 – 2025

Abstract

Objective: Acute poisoning is a common emergency due to many different causes. The use of hemofiltration to increase the elimination of toxins is widely applied due to its benefits. The study aims to evaluate the results of hemofiltration in the treatment of acute poisoning patients at the Poison Control Center of Bach Mai Hospital in the period of 2024 - 2025. Method: A Prospective descriptive study on acute poisoning patients undergoing hemofiltration at the Poison Control Center - Bach Mai Hospital from June 2024 to June 2025. Results: The study was conducted on 52 patients, of which 65.4% were male, with a common age of 40 - 60 years old at 38.5%. The main cause of poisoning was suicide with 82.7%, with the common poison being pesticides with 90.48%, of which Diquad accounted for 48.1%, Paraquat accounted for 17.3%. Most patients had less than 24 hours from the time of poisoning to the time of dialysis, with the time from 6 to 24 hours accounting for 50%, with the level of poisoning being mainly moderate and severe with 25% and 46.2%. The mortality rate in the study was relatively high with 50.1%, mainly in the Diquad poisoning group with 66.67% and severe with 62.5%. Conclusion: In poisoned patients, the hemodialysis adsorption method showed effectiveness in treatment, however, the treatment results were closely related to the type of poison and the initial level of poisoning