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目的:探讨对重症有机磷农药中毒者的急诊与急救方法。方法:随机将21例因有机磷农药而患重症中毒者分组:毒性组(11例)和毒症组(10例),对毒性组的11例经清水洗胃+药物医治(阿托品、复能剂以及抗胆碱药),对毒症组的10例经对症洗胃+药物医治(解磷注射液、氯磷定以及阿托品),随后,比较毒性组和毒症组中因有机磷农药而患重症中毒者的急诊疗效。结果:在毒性组的11例中,7例毒性清除并治愈,4例因毒药急救无效死亡;在毒症组的10例中,9例毒性清除并治愈,1例因毒药急救无效死亡。显然毒症组的疗效比毒性组好,P<0.05。结论:在因有机磷农药而患重症中毒者入院后,要对症予以急诊洗胃,进而依照中毒类型给予药物医治,以此可提升重症中毒者的生存率。
Objective: To explore the emergency and emergency treatment of severe organophosphorus pesticide poisoning. Methods: Twenty-one cases of severe poisoning due to organophosphorus pesticide were randomly divided into toxicity group (n = 11) and poisoning group (n = 10). Eleven patients in toxicity group were treated with water washing and drug treatment And anticholinergic drugs). Ten patients in the poisoning group were treated with symptomatic gastric lavage plus drug treatment (Phosphate-Solving Injection, Chlorophosphorus and atropine). Subsequently, the patients in the Toxicity and Toxicity Groups suffered severe poisoning due to organophosphorus pesticides The emergency effect. Results: Of the 11 patients in the toxicity group, 7 were cleared and cured, 4 were ineffective due to poison first aid, and 9 were cleared and cured in one of the 10 patients in the toxic group, and 1 died of poison in the first aid. Obviously the efficacy of the toxic group than the toxicity group, P <0.05. Conclusions: After admission to hospital for severe poisoning due to organophosphorus pesticide, symptomatic emergency gastric lavage should be given, and medicine should be given according to the type of poisoning, so as to improve the survival rate of critically ill patients.