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目的评价早期气管切开对急性有机磷农药中毒中间综合征患者的影响。方法 35例有机磷中毒重型中间综合征患者行早期气管切开术,对照组16例,治疗组19例,治疗组在插管后24 h内行常规气管切开,进行治疗效果比较。结果治疗组较对照组阿托品总用量、平均住院天数、机械通气时间均明显降低(均P<0.05)。结论早期气管切开术应作为该疾病开放气道的首选方法。
Objective To evaluate the effect of early tracheotomy on patients with intermediate syndrome of acute organophosphorus pesticide poisoning. Methods Totally 35 tracheotomy patients with severe intermediate syndrome were randomly divided into control group (n = 16) and treatment group (n = 19). The patients in the treatment group underwent routine tracheotomy within 24 h after intubation. Results The total amount of atropine, average days of hospital stay and duration of mechanical ventilation in the treatment group were significantly lower than those in the control group (all P <0.05). Conclusions Early tracheotomy should be the first choice of open airway for this disease.