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有机磷农药中毒是急诊科的常见危重症,患者病情凶险,对患者正确诊断、快速应用特效解毒剂及彻底洗胃是提高抢救成功率的关键。由于有机磷农药中毒时患者呼吸道分泌物多,呼吸困难,在进行洗胃插管过程中患者会出现发绀,呼吸困难加重,重者出现呼吸骤停,洗胃时风险非常高。因此对有机磷农药中毒患者在抢救过程中应先给予特效解毒剂,待患者呼吸道分泌物减少后再给予彻底洗胃。这种方法既及时恢复胆碱酯酶活力,也降低了洗胃过程中的风险,保证了患者安全,也提高了抢救成功率。
Organophosphorus pesticide poisoning is a common critical illness in the emergency department, the patient is dangerous, the correct diagnosis of the patient, the rapid application of antidotes and thorough gastric lavage is the key to improve the success rate of rescue. Due to organophosphorus pesticide poisoning patients with respiratory secretions, dyspnea, gastric lavage intubation in patients with cyanosis during treatment, exacerbated dyspnea, severe respiratory arrest, gastric lavage when the risk is very high. Therefore, organophosphate pesticide poisoning in the rescue process should be given special antidote, to be reduced to patients with respiratory secretions before giving complete gastric lavage. This method not only timely recovery of cholinesterase activity, but also reduces the risk of gastric lavage process to ensure patient safety, but also improve the success rate of rescue.