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目的探讨如何规范基层医院急性有机磷中毒的治疗,提高疗效,减低病死率。方法在基层医院目前还普遍存在经验性治疗习惯,尤其是在乡卫生院,习惯性经验性治疗方法洗一次胃排毒、首次使用胆碱酯酶复能剂、阿托品后,根据病情酌情考虑是否继续使用或者追加阿托品的用量。结果统计20例中毒患者,18例属于轻中度中毒,2例属于重度中毒,其中18例轻中度中毒患者痊愈出院,1例重患者出现阿托品中毒,1例重患者出现猝死。结论担心解毒药物中毒是不规范抢救的惟一原因。
Objective To explore how to standardize the treatment of acute organophosphate poisoning in primary hospitals to improve the curative effect and reduce the case fatality rate. Methods In the primary hospital, there is still widespread experience of empirical treatment, especially in the township hospitals, habitual empirical treatment of a gastric detoxification, the first use of cholinesterase agent, atropine, depending on the condition to consider whether to continue Use or add the amount of atropine. Results Totally 20 patients were poisoned, 18 were mild to moderate poisoning and 2 were severe poisoning. Among them, 18 patients with mild to moderate poisoning were cured and discharged, 1 was severe atropine poisoning, and 1 patient died from sudden death. Conclusion worry about detoxification drug poisoning is the only reason for non-standard rescue.