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目的探讨气管插管在抢救急性重度有机磷中毒(ASOPP)患者的临床应用价值。方法回顾性分析2012年6月—2014年6月该院收治的52例行紧急气管插管后洗胃的急性重度有机磷中毒患者的临床资料,并与2010年5月—2012年5月收治的34例未实施气管插管的急性重度有机磷中毒患者临床资料进行对比观察。结果观察组52例患者中治愈47例,死亡2例,为多器官功能衰竭,自动放弃治疗3例,救治成功率为90.38%,明显高于对照组的58.82%;观察组入住重症监护室时间为(10.5±2.5)d,明显短于对照组的(15.7±3.9)d,差异具有统计学意义(P<0.05)。结论气管插管是救治急性重度有机磷中毒患者的有效措施,对于提高该类患者救治的成功率具有重要意义。
Objective To investigate the clinical value of endotracheal intubation in the treatment of patients with acute severe organophosphorus poisoning (ASOPP). Methods The clinical data of 52 patients with acute severe organophosphorus poisoning after gastric lavage after emergency endotracheal intubation from June 2012 to June 2014 were retrospectively analyzed and compared with those from May 2010 to May 2012 34 cases of patients without acute intratracheal intubation acute severe organophosphorus poisoning clinical data were compared. Results The observation group of 52 patients were cured in 47 cases, 2 patients died of multiple organ failure, three patients were automatically given up treatment, the treatment success rate was 90.38%, significantly higher than the control group, 58.82%; observation group admitted intensive care unit time (10.5 ± 2.5) d, which was significantly shorter than that of the control group (15.7 ± 3.9) d, the difference was statistically significant (P <0.05). Conclusion Intratracheal intubation is an effective treatment for patients with acute severe organophosphate poisoning, which is of great significance to improve the success rate of treatment in such patients.