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目的:探讨血液透析灌流(HDP)治疗重度有机磷中毒(Aopp)的效果及护理措施。方法:对40例重度有机磷农药中毒病人行HDP治疗,同时加强护理,包括迅速建立有效血管通路、掌握HDP治疗时机、保持循环稳定、维持呼吸功能和HDP并发症的观察与护理等。结果;痊愈出院38例,并发多器官功能障碍综合征死亡2例。结论:科学严密的术前、术中、术后护理可以保证血液灌流治疗的顺利进行,提高重症药物中毒病人的抢救成功率。
Objective: To investigate the effect of hemodialysis perfusion (HDP) on severe organophosphorus poisoning (Aopp) and its nursing measures. Methods: Forty patients with severe organophosphorus pesticide poisoning were treated with HDP while enhancing nursing care. These included rapid establishment of effective vascular access, timing of HDP treatment, maintenance of circulatory stability, maintenance of respiratory function and HDP complications. Results: 38 patients were discharged from hospital and 2 died of multiple organ dysfunction syndrome. Conclusion: Strict scientific preoperative, intraoperative and postoperative care can ensure the success of hemoperfusion treatment and improve the success rate of rescue of severe drug poisoning patients.