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目的了解不同区域急性有机磷杀虫剂中毒诊疗行为的差异。方法选择河北、黑龙江、重庆区域共18家县级医院2012年急性有机磷杀虫剂中毒住院病例进行回顾性调查,比较胆碱酯酶活性检测、阿托品及复能剂使用情况、住院天数、费用及预后。结果住院天数中位数4 d,总费用2 755.39元,药品费用1 185.00元。三区域间胆碱酯酶活性检测次数、阿托品的使用天数和剂量、住院总费用的差异均有统计学意义,中重度病例的复能剂使用天数差异有统计学意义。结论目前不同地区急性有机磷杀虫剂中毒诊疗行为仍存在一定差异,制定其临床路径非常必要且紧迫。
Objective To understand the difference in diagnosis and treatment of acute organophosphate insecticide poisoning in different regions. Methods A total of 18 county-level hospitals in Hebei, Heilongjiang and Chongqing were enrolled in this study. Acute organophosphate pesticide poisoning inpatients in 2012 were retrospectively analyzed. Cholinesterase activity, atropine, And prognosis. Results The median length of hospital stay was 4 days, with a total cost of 2 755.39 yuan and a drug cost of 1 185.00 yuan. The number of test for cholinesterase activity, the days of using atropine, the dosage and the total cost of hospitalization among the three regions were all statistically significant. There was significant difference in the number of energy-using agents in moderate-severe cases. Conclusion There are still some differences in the diagnosis and treatment of acute organophosphate insecticide poisoning in different areas. It is very necessary and urgent to formulate its clinical pathways.