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目的:探讨急性农药中毒院前急救的措施和效果,为急性农药中毒的院前救治提供依据。方法:回顾性收集306例急性农药中毒病例,依据是否采取院前急救措施,分为有院前急救组(n=186)和无院前急救组(n=120),比较两组的临床症状、体征、并发症、疗效、预后等指标。结果:发现有无院前急救的接毒原因、中毒程度、毒物种类、毒物吸收途径、消化系统症状、皮肤症状等方面存在显著统计学差异(P<0.05);有院前急救组的呼吸衰竭、中间综合征等发生率明显小于无院前急救组(P<0.05);有院前急救组的好转率为82.8%,高于无院前急救组的67.5%(P<0.01);而有院前急救组的死亡率为14.0%,明显低于无院前急救组的25.8%(P<0.01)。结论:院前急救对急性农药中毒的效果明显,可明显减轻并发症和病死率,改善急性农药中毒的预后情况。
Objective: To explore the measures and effects of prehospital emergency care for acute pesticide poisoning, and to provide evidence for prehospital treatment of acute pesticide poisoning. Methods: A total of 306 cases of acute pesticide poisoning were retrospectively collected. Pre-hospital first aid (n = 186) and no hospital first aid (n = 120) were used to compare the clinical symptoms , Signs, complications, efficacy, prognosis and other indicators. Results: There were significant differences (P <0.05) in the reasons of poisoning, poisoning, poisoning, toxicant absorption, digestive system symptoms and skin symptoms in patients with or without pre-hospital care; respiratory failure (P <0.05). The improvement rate of pre-hospital first aid group was 82.8%, which was higher than 67.5% (P <0.01) without pre-hospital first aid group, while there was The pre-hospital first aid group had a mortality rate of 14.0%, which was significantly lower than that of the pre-hospital first aid group (25.8%, P <0.01). Conclusion: Prehospital first aid has obvious effect on acute pesticide poisoning, which can significantly reduce complications and mortality and improve the prognosis of acute pesticide poisoning.