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目的评价血液灌流与血液透析联合治疗重度有机磷农药中毒的效果,总结护理经验。方法选取2014年2月-2016年8月阳春市中医院采用血液灌流与血液透析联合治疗重度有机磷农药中毒24例患者为研究对象。护理内容主要包括病情监护、血液透析与灌流护理、并发症预防以及对症护理。结果48 h后,患者的平均动脉压(MAP)、血氧分压(PaO_2)、胆碱酯酶活力(a/A)、GCS量表评分高于治疗前,患者谷丙转氨酶(ALT)、肌酐(Cr)低于治疗前,差异有统计学意义(P<0.05)。住院时间(16±5.9)d,发生并发症9例,轻微出血1例,抢救成功率为100.0%(24/24)。结论血液灌流与血液透析联合治疗重度有机磷农药中毒疗效肯定,但治疗过程中也存在相关并发症,需要做好并发症护理。
Objective To evaluate the effect of combined hemoperfusion and hemodialysis on severe organophosphorus pesticide poisoning and to summarize nursing experience. Methods From February 2014 to August 2016, 24 cases of severe organophosphorus pesticide poisoning were treated with hemoperfusion and hemodialysis in Yangchun Hospital of Traditional Chinese Medicine. Nursing content mainly includes patient care, hemodialysis and perfusion care, complications prevention and symptomatic care. Results The mean arterial pressure (MAP), PaO_2, a / A and GCS scores were significantly higher than those before treatment in patients with ALT, ALT, Creatinine (Cr) was lower than before treatment, the difference was statistically significant (P <0.05). The length of hospital stay was (16 ± 5.9) days. There were 9 complications and 1 mild bleeding. The success rate of rescue was 100.0% (24/24). Conclusion Hemoperfusion and hemodialysis combined treatment of severe organophosphorus pesticide poisoning positive effect, but there are also related complications during treatment, the need for complications nursing.