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目的:总结重度有机磷农药中毒患者在急诊重症监护室(EICU)的急救与护理措施。方法:对25例重度有机磷农药中毒患者的临床表现、救治及护理进行回顾性分析。结果:通过急救与综合护理,成功救治23例患者,无并发症发生,其中4例因就诊不及时及院外治疗不当导致中间型综合征的发生;2例放弃治疗,院外死亡。救治成功率为92%,病死率为8%。结论:重度有机磷农药中毒病死率高,积极抢救、有效治疗及细致护理,可显著减少并发症及死亡率,提高治愈率。
Objective: To summarize the emergency and nursing measures of patients with severe organophosphorus pesticide poisoning in emergency intensive care unit (EICU). Methods: The clinical manifestations, treatment and nursing of 25 patients with severe organophosphorus pesticide poisoning were retrospectively analyzed. Results: Through the first aid and comprehensive care, 23 patients were successfully treated without complications. Among them, 4 patients were diagnosed as intermediate syndromes due to improper medical treatment and improper outpatient treatment; 2 patients gave up treatment and died outside the hospital. Treatment success rate was 92%, mortality was 8%. Conclusion: Severe organophosphorus pesticide poisoning high mortality, active rescue, effective treatment and meticulous care, can significantly reduce complications and mortality, improve the cure rate.