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血液灌流在重度有机磷农药中毒中的应用及护理

The Application and Nursing for Organophosphorus Intoxication Treated with Hemoperfusion
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摘要 目的观察血液灌流重度有机磷农药中毒中的应用及护理。方法重度有机磷农药中毒84例患者随机分为对照组和治疗组,治疗组在常规内科治疗的基础上加用血液灌流(HP)并采取相应护理措施,对照组单纯行常规内科治疗护理。观察对照两组病例的治愈率、阿托品总用量、昏迷至清醒时间、胆碱酯酶活力恢复时间和并发症。结果治疗组阿托品总用量减少(P<0.01),患者昏迷时间缩短(P<0.05),治愈率提高(P<0.05),并发症减少(P<0.01)。结论对于重度有机磷农药中毒患者,除内科常规治疗外加用血液灌流,予以适当的护理能明显提高这类危重患者的治愈率。 Objective To observe the curative effectiveness of hemoperfusion on organophosphorous poisoning and the nursing care. Methods The 84 sufferers poisoned organophosphorous insecticide from October 2004 to October 2006 were randomly divided into two groups: control group and treatment group. The treatment group accepted general medical treatment, hemoperfusion and the corre sponding nursing measure, the control group accepted general medical treatment. The cure rate, the total dosage of atropine, the interval between coma and to awake, complication. Results The total dosage of atropine reduced( P 〈 0.01), the duration of coma shortened( P 〈 0.01 ), the cure rate raised( P 〈 0.05 ) in treatment group than in control group, the complication reduced ( P 〈 0.01 ). Conclusion General medical treatment, hemoperfusion and the corresponding nursing measure can obviously raise the cure rate of organophosphorus insecticide sufferers.
作者 李莹 牛尤敏
出处 《菏泽医学专科学校学报》 2008年第4期51-53,共3页 Journal of Heze Medical College
关键词 血液灌流 有机磷 中毒 护理 hemoperfusion organophosphorus intoxication nursing
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