摘要
目的:探讨有机磷农药中毒在院前、院内各个环节中救治措施的落实情况及对预后的影响。方法:选取重症口服有机磷中毒患者68例,分析院前、院内在清除体内外毒物、特殊解毒剂的应用、人工辅助呼吸、脱水剂、抗休克等综合治疗情况。结果:68例重症有机磷中毒患者中死亡9例,死亡率10%;死于呼吸衰竭4例,死于休克2例,死于心脏骤停2例,死于多器官衰竭1例。部分重症患者在治疗过程中存在洗胃不彻底、解毒剂运用不及时、呼吸机运用偏晚等情况。结论:是否彻底清除体内毒物、解毒剂剂量的掌握、选择人工辅助呼吸的时机、综合治疗的落实对患者的预后有一定的影响。
Objective To investigate the implementation of the pre-hospital,hospital treatment measures of oral organophosphorus pesticide poisoning and its impact on prognosis.Method Sixty-eight patients with severe oral organophosphate poisoning,the integrated therapy of pre-hospital and hospital clearance of toxicity,the application of specific antidotes,artificial respiration,dehydration and anti-shock were analyzed.Results In 68 patients with severe organophosphate poisoning,9 died,the death rate was 10%;they were died of respiratory failure in 4 cases,2 patients died of shock,2 patients died of cardiac arrest,died of multiple organ failure in 1 case.Some severe patients with non-thoroughly gastric lavage,intimely antidote use,lately respirator use and so on in the treatment process.Conclusion Whether completely get rid of toxicity,antidote dosage control,time of selecting artificial ventilation,the implementation of comprehensive treatment have some significance on the patients′ prognosis.
出处
《吉林医学》
CAS
2012年第2期237-238,共2页
Jilin Medical Journal
关键词
有机磷农药
重度中毒
治疗措施
预后
Organophosphorus pesticide
Severe poisoning
Treatment measures
Prognosis
