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目的 :提高洗胃质量 ,确保重症有机磷农药中毒病人的抢救效果。方法 :找出洗胃中的故障 ,改进洗胃方法 ,把握昏迷病人洗胃中每一环节的急救与护理。结果 :采用新的洗胃法 ,9例昏迷病人均插胃管顺利 ,缩短了洗胃时间 ,除 1例因就诊时间过长 ,抢救无效死亡 ,余 8例均抢救成功 ,痊愈出院。结论 :气管插管是昏迷病人洗胃抢救成功的关键。
Objective: To improve the quality of gastric lavage and ensure the salvage effect of severe organophosphorus pesticide poisoning patients. Methods: To find out the fault in gastric lavage, improve gastric lavage method and grasp the first aid and nursing in every part of gastric lavage in unconsciousness. Results: With the new gastric lavage method, 9 cases of unconscious patients were successfully inserted gastric tube, shorten the time of gastric lavage. Except for one case, the rescue died because of the long treatment time. All the 8 cases were rescued successfully and were discharged. Conclusion: Endotracheal intubation is the key to successful gastric lavage rescue in coma patients.