Effect of activated charcoal hemoperfusion on renal function in patients with paraquat poisoning.

Abstract:

:The present study retrospectively analyzed 19 patients diagnosed with paraquat (PQ) poisoning with the aim to investigate the effect of activated charcoal hemoperfusion on renal function and PQ elimination. The results indicated that 7 patients died and 12 survived. Non-oliguric renal failure occurred in all of the 7 patients who died. Among the 12 surviving patients, 10 had normal renal function and 2 developed non-oliguric renal failure. There was a linear correlation between plasma and urine paraquat concentration prior to and during activated charcoal hemoperfusion. The equation parameters together with the correlation coefficient on admission were as follows: Y=0.5820+1.7348X (R2=0.678; F=35.768; P<0.0001). The equation parameters together with the correlation coefficient were as follows during activated charcoal hemoperfusion: Y=0.6827+1.2649X (R2=0.626; F=50.308; P<0.0001). Therefore, it was concluded that in patients with normal renal function, the elimination kinetics of PQ by the kidneys were only associated with the plasma PQ concentration. Activated charcoal hemoperfusion had little effect on avoiding acute kidney injury in patients with severe PQ poisoning.

journal_name

Exp Ther Med

authors

Sun L,Yan PB,Zhang Y,Wei LQ,Li GQ

doi

10.3892/etm.2018.5712

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

2688-2692

issue

3

eissn

1792-0981

issn

1792-1015

pii

ETM-0-0-5712

journal_volume

15

pub_type

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