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急诊科工作三年来,在对各种服毒者的抢救中积累了一定的经验,现就急诊服毒患者的洗胃问题,浅谈几点认识。 1 迅速确立诊断 仔细询问病情,明确服药种类、剂量、时间、是否进食、饮酒及采取了哪些治疗措施,以便及时配出洗胃液。重点检查病人的神志、呼吸、脉搏、血压、瞳孔及神经反射以及呼出气味、特殊体征等。估计中毒的严重程度,如有心脏骤停及呼吸衰竭应立即进行心肺复苏抢救。遇有机磷农药中毒较重者,洗胃前要先注射适当剂量的阿托品以延长抢救时间。
In the three years of emergency department work, we have accumulated some experience in the rescue of various drug addicts. 1 quickly established diagnosis carefully asked the condition, clear medication type, dosage, time, whether eating, drinking and taken what treatment measures, in order to timely allocation of gastric lavage fluid. Focus on checking the patient’s mind, breathing, pulse, blood pressure, pupil and nerve reflex and exhaled odor, special signs. Estimate the severity of poisoning, if cardiac arrest and respiratory failure should be immediately resuscitative CPR. Case of organophosphate pesticide poisoning heavier, before gastric lavage injection of the appropriate dose of atropine to extend the rescue time.