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1、授予單位代碼10089學(xué)號或申請?zhí)?3453HebeiMedicalUniversity碩士學(xué)位論文科學(xué)學(xué)位不同進食時間對急性百草枯中毒患者預(yù)后的影響作者姓名：孟艦導(dǎo)師：田英平教授馬增香主任醫(yī)師專業(yè)：急診醫(yī)學(xué)二級學(xué)院：河北醫(yī)科大學(xué)第二醫(yī)院2015年03月河北醫(yī)科大學(xué)學(xué)位論文使用授權(quán)及知識產(chǎn)權(quán)歸屬承諾本學(xué)位論文在導(dǎo)師(或指導(dǎo)小組)的指導(dǎo)下,由本人獨立完成。本學(xué)位論文研究所獲得的研究成果,其知識產(chǎn)權(quán)歸河北醫(yī)科大學(xué)所有。河北醫(yī)科大學(xué)有權(quán)對本學(xué)位論文進行交流、公開和使用。凡發(fā)表與學(xué)位論文主要內(nèi)容相關(guān)的論文,第一署名為單位河北醫(yī)科大學(xué)，試驗材料、原始數(shù)據(jù)、申報的專
2、利等知識產(chǎn)權(quán)均歸河北醫(yī)科大學(xué)所有。否則,承擔相應(yīng)法律責任。研究生簽名:^4么導(dǎo)師簽章：二級學(xué)院領(lǐng)導(dǎo)蓋章：年作J曰河北醫(yī)科大學(xué)研究生學(xué)位論文獨創(chuàng)性聲明本論文是在導(dǎo)師指導(dǎo)下進行的研究工作及取得的研究成果，除了文中特別加以標注和致謝等內(nèi)容外,文中不包含其他人已經(jīng)發(fā)表或撰寫的研究成果,指導(dǎo)教師對此進行了審定。本論文由本人獨立撰寫,文責自負。研究生簽名：導(dǎo)師簽章：qwf廣年目錄中文摘要·············································································1英文摘要········
3、·····································································3研究論文不同進食時間對急性百草枯中毒患者預(yù)后的影響前言·············································································6材料與方法····································································6結(jié)果·····························
4、················································8附圖·············································································11附表·············································································15討論···································································
5、··········18結(jié)論·············································································24參考文獻·······································································24綜述急性百草枯中毒臨床治療現(xiàn)狀·········································27致謝··················································
6、·································37個人簡歷·············································································38中?文?摘?要不同進食時間對急性百草枯中毒患者預(yù)后的影響摘要目的：對滄州市人民醫(yī)院自2009年1月至2013年9月收治的254例急性百草枯中毒患者進行回顧性分析，了解不同時間進食對患者的并發(fā)癥及預(yù)后情況是否有影響，為該病患者的合理進食時間提供科學(xué)依據(jù)，提升救治成功率。方法：回顧性收集2009年1月至2013年9月就診于滄州
7、市人民醫(yī)院急診科254例急性百草枯中毒患者的病例資料，按照病情輕重將納入研究的患者分成3組，輕型53例，中-重型72例，爆發(fā)型129例，對每組患者按照不同的進食時間分成6個時間段，統(tǒng)計分析不同進食時間患者的并發(fā)癥及預(yù)后情況，包括急性肺損傷/肺纖維化、急性腎損傷、急性肝損傷、存活情況。結(jié)果：對納入研究的254例患者進行統(tǒng)計學(xué)分析，不同進食時間對各種并發(fā)癥及預(yù)后的影響均無統(tǒng)計學(xué)意義(P>0.05)。但進一步分型后發(fā)現(xiàn)，輕型患者共53例，不同進食時間對存活率的影響，P<0.01，有統(tǒng)計學(xué)意義；其中在<12小時時間段進食的患者存活率最低(80.00%)，>44小
8、時時間段進食的存活率最高(100.00%)；進食時間對并發(fā)急性肺損傷/肺纖維化、
