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目的:探讨急性有机磷农药中毒合并呼吸衰竭的急诊抢救方法和效果。方法:选择我院收治的69例急性有机磷农药中毒合并呼吸衰竭患者为研究对象,将其随机分为观察组(气管插管呼吸机辅助呼吸)和对照组(常规治疗),分析比较2组治疗的情况。结果:在机械通气所需时间、神志清醒所需时间、ICU停留时间及CHE活力恢复60%时间、血气分析等方面比较,观察组均显著短于对照组,P均<0.05,均有统计学差异;2组患者治疗有效率分别为94.29%、85.29%,死亡率分别为2.86%、5.88%,P均<0.05,均有统计学差异。结论:常规治疗基础上加用气管插管呼吸机辅助呼吸,可显著提高急性有机磷农药中毒合并呼吸衰竭患者的抢救成功率。
Objective: To investigate the emergency rescue method and effect of acute organophosphorus pesticide poisoning combined with respiratory failure. Methods: A total of 69 patients with acute organophosphorus pesticide poisoning and respiratory failure who were admitted to our hospital were selected as study subjects. They were randomly divided into observation group (tracheal intubation ventilator assisted breathing) and control group (routine treatment) Treatment of the situation. Results: Compared with the control group, the time required for mechanical ventilation, time required for conscious, ICU stay and CHE recovery 60% of the time, blood gas analysis, the observation group were significantly shorter than the control group, P <0.05, both statistically The difference between the two groups was 94.29% and 85.29% respectively, the mortality rates were 2.86% and 5.88% respectively, P <0.05, all with statistical difference. Conclusion: Based on routine treatment, the use of endotracheal intubation ventilator-assisted breathing can significantly improve the rescue success rate of patients with acute organophosphorus pesticide poisoning and respiratory failure.