摘要
目的:探讨急性有机磷农药中毒患者血清淀粉酶监测对中毒病人病情评估及临床治疗的意义。方法:116例急性有机磷农药中毒患者根据血清淀粉酶水平将患者分为三组:正常淀粉酶组(A,n=78)、中度增高淀粉酶组(B,n=25)和高淀粉酶组(C,n=13),对比分析三组病人的白细胞升高率,低血压、呼吸衰竭、消化道出血和肺部感染发生率,治愈率及病死率。结果:116例急性有机磷农药中毒患者38例血清淀粉酶升高,高淀粉酶血症的发生率为32.8%。A、B、C三组并发症(白细胞升高、低血压、消化道出血、肺部感染、呼吸衰竭)发生率呈递增态势;A组死亡率为1.3%,B组死亡率为12.0%,C组死亡率为53.8%。结论:血清淀粉酶水平与急性有机磷农药中毒患者病情危重程度、并发症发生率及预后呈平行关系。在急性有机磷农药中毒救治时应重视对血清淀粉酶的监测,以及时发现和治疗危重病例,提高治愈率,改善预后。
Objective： To explore clinical significance of serum amylase in patients with acute organophosphorous pesticide poisoning （AOPP）. Methods： 116 patients with AOPP were divided into three groups by the level of serum amylase：group A, group B and group C. The group A （n=78） was normal level of serum amylase.The group B （n= 25） was middle high level. Group C（n=13） was high level. Observe the occurring rate of high white blood cell, low blood pressure , breath failure, digestive system hemorrhage, lungs infecting, and the rate of curing and death. Results：38 patients were high level of serum amylase and the rate of high serum amylase was 32.8%. The rate of side-effect was increasing with the level of serum amylase. The death rate in three groups was respectively 1.3%, 12.0% ,53.8%. Conclusions： The level of serum amylase is identical to the hard degree of patients, the occurring rate of side-effect and prognosis. Monitoring serum amylase in patients with acute organophorous pesticide poisoning is important so that we can early find and treat it. The rate of curing will be increased and prognosis will be good.
出处
《岭南急诊医学杂志》
2008年第3期207-208,共2页
Lingnan Journal of Emergency Medicine
关键词
急性有机磷农药中毒
血清淀粉酶
预后
acute organophosphorous pesticide poisoning
serum amylase
prognosis
