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目的:探讨急性有机磷农药中毒时急性呼吸衰竭与非呼吸衰竭时血清淀粉酶的变化规律及临床意义。方法:采用酶法测定38例急性有机磷农药中毒患者(急性呼吸衰竭12例,非急性呼吸衰竭26例)的血清淀粉酶。结果:38例急性有机磷中毒患者中12例发生呼吸衰竭者血清淀粉酶显著高于26例未发生呼吸衰竭者血清淀粉酶(P<0.05)。结论:急性有机磷农药中毒时血清淀粉酶越高,提示中毒程度越重,发生呼吸衰竭的可能性越大。
Objective: To investigate the changes and clinical significance of serum amylase during acute respiratory failure and non-respiratory failure in acute organophosphorus pesticide poisoning. Methods: Serum amylase was determined by enzymatic method in 38 patients with acute organophosphorus pesticide poisoning (12 cases of acute respiratory failure and 26 cases of non-acute respiratory failure). Results: Serum amylase was significantly higher in 12 patients with respiratory failure than in 26 patients without respiratory failure (P <0.05) in 38 patients with acute organophosphate poisoning. Conclusion: Acute organophosphorus pesticide poisoning, the higher serum amylase, suggesting that the more severe poisoning, the greater the possibility of respiratory failure.