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目的:对急诊救治急性有机磷农药中毒的合理方法进行探讨,以提高救治水平。方法:选取我院自2014年3月-2015年3月所收治的20例急性有机磷农药患者为主要研究对象,并根据入院顺序,将患者分为对照组和观察组,每组各10例。对照组使用氯解磷定与硫酸阿托品进行治疗,观察组采用氯解磷定、硫酸阿托品、长托宁联合的方式治疗,对患者的血胆碱酯酶的恢复时间、住院时间进行观察,以便获得相应的病死率。结果:观察组血胆碱酯酶活力的恢复时间要比对照组快(p<0.05);观察组患者住院时间短于对照组(p<0.05);观察组病死率比对照组低(p<0.05)。结论:针对急性有机磷农药中毒患者,采用氯解磷定、硫酸阿托品、长托宁联合的方式进行治疗,其治疗效果较为显著。
Objective: To explore the reasonable method of emergency treatment of acute organophosphorus pesticide poisoning in order to improve the treatment level. Methods: Twenty patients with acute organophosphorus pesticides admitted in our hospital from March 2014 to March 2015 were selected as the main study subjects. According to the order of admission, the patients were divided into control group and observation group, with 10 cases in each group . The control group was treated with chlorophenanthroline and atropine sulfate. The observation group was treated with chlorophenanthroline, atropine sulfate and penehyclidine, and the recovery time and hospital stay of the patients were observed. Get the corresponding fatality rate. Results: The recovery time of blood cholinesterase activity in the observation group was faster than that in the control group (p <0.05); the length of stay in the observation group was shorter than that of the control group (p <0.05); the mortality of the observation group was lower than that of the control group (p < 0.05). Conclusion: Acute organophosphorus pesticide poisoning in patients with chlorpromazine, atropine sulfate, combination of changitonin for treatment, the treatment effect is more significant.