摘要
目的:探讨急性重度有机磷中毒通气支持效果。方法:53例急性重度有机磷中毒患者于入院实施气管插管,行通气支持,通气模式选用容量控制或压力控制,加用呼气末正压(PEEP),根据PaO2、PaCO2、呼气末二氧化碳浓度(PetCO2)调整各通气变量参数。清除毒物,给予阿托品,突击氯磷定治疗,适度镇静,营养支持。结果:3例死于心肌缺血,2例放弃治疗,48例治愈(90.57%)。通气支持时间72～156(平均98)h;住院6～15(平均10.5)d,无一例并发症。结论:通气支持对急性重度有机磷中毒患者的救治有效,综合治疗是关键。
Objective：To discuss the effects of ventilation support with severe acute organophosphorus pesticide poisoning （AOPP）. Mehtods ：The retrospective analyse and to summarize 53 in-hospital cases of AOPP saved by trachea intubation,ventilatory support choosing volume control or pressure control added to PEEP ,adjusting ventilatory variable parameter by PaO2, PaCO2, PetCO2, clearing poison thoroughly, injecting atropine, sedation and nutrition supporting in our hospital. Results： 3 cases died of myocardial ischemia. 2 cases gave up treatment. 48 cases were cured. Ventilatory supportrs time is 72-156 hours, average 18 hours. 6-15 days in hospital,average master time in hospital is 10.5 days. no complication happened. Conclusion： The ventilatory support is effective to cure the patients with severe acute organophosphorus pesticide poisoning（AOPP）and comprehensive treatment is key.
出处
《医药世界》
2009年第6期202-203,共2页
Medicine World
关键词
农药/中毒
中毒/治疗
呼吸
人工
人类
Pesticides/poisoning
Poisoning/therapy
Respiration
Artificial
Humans
