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目的探讨急性乌头碱中毒的特点,院内外抢救模式,提高抢救成功率。方法回顾分析,2004—2010年郑州市第一人民医院33例急性乌头碱中毒的临床资料,院内外救治乌头碱中毒的临床特点,评价抢救效果,转归。结果 33例患者,32例出院1,例死亡,治愈率96.7%。结论循环系统损害是急性乌头碱中毒最显著特点,而室性心律失常是最多见,最致命的危险因素和救治重点,及时合理使用阿托品、利多卡因等治疗是最合理安全有效的方法。实施院前急救-院内急诊救治-重症监护无缝衔接治疗体系,可明显缩短中毒患者的就诊时间,及早实施抢救,缩短病程,提高抢救的成功率。
Objective To investigate the characteristics of acute aconitine poisoning, hospital rescue mode and improve the success rate of rescue. Methods The clinical data of 33 cases of acute aconitine poisoning in First People ’s Hospital of Zhengzhou City from 2004 to 2010 were retrospectively analyzed. The clinical characteristics of aconitine poisoning in and outside the hospital were evaluated, and the rescue effect was evaluated. Results 33 patients, 32 patients were discharged 1, died of a case, the cure rate was 96.7%. Conclusion The circulatory system damage is the most prominent characteristic of acute aconitine poisoning. Ventricular arrhythmia is the most common and fatal risk factor and the focus of treatment. It is the most reasonable and safe method to treat atropine and lidocaine timely and reasonably. The implementation of pre-hospital emergency - hospital emergency treatment - intensive care seamless convergence treatment system can significantly reduce the treatment time of poisoning patients, early implementation of the rescue, shorten the course of disease and improve the success rate of rescue.