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目的探讨机械辅助呼吸在抢救重度有机磷农药中毒所致呼吸衰竭中的作用。方法临床观察急性有机磷中毒合并呼吸衰竭患者36例,均采用洗胃、灌肠、应用胆碱酯酶复能剂、抗胆碱药物、有创机械通气治疗。结果呼吸衰竭脱机成功、痊愈出院32例,4例死亡。结论及时机械辅助呼吸、合理应用胆碱酯酶复能剂与抗胆碱药物在抢救重度有机磷中毒合并呼吸衰竭中十分重要。
Objective To explore the role of mechanical ventilation in resuscitation of respiratory failure caused by severe organophosphorus pesticide poisoning. Methods Clinical observation of acute organophosphate poisoning combined with respiratory failure in 36 patients were used gastric lavage, enema, the application of cholinesterase agents, anticholinergic drugs, invasive mechanical ventilation. Results Respiratory failure was successful, discharged 32 cases were cured, 4 died. Conclusion Timely mechanical assisted breathing, rational use of cholinesterase agents and anticholinergic drugs in the rescue of severe organophosphate poisoning combined with respiratory failure is very important.