首页|阿托品抢救急性有机磷农药中毒208例分析及对患者预后的影响

阿托品抢救急性有机磷农药中毒208例分析及对患者预后的影响

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目的:观察阿托品抢救急性有机磷农药中毒208例及对患者预后的影响.方法:对我院2005-01/2007-12急性有机磷农药中毒的患者208例进行回顾性分析,Ⅰ组为服毒后3 h内达到阿托品化103例,Ⅱ组为服毒3 h后达到阿托品化105例,比较两种并发症和病死率的发生率.结果:与Ⅰ组相比,Ⅱ组病死率高(18.1%vs7.8%,P<0.05),并发症发生率高.结论:阿托品抢救急性有机磷农药中毒时阿托品化达到的时间越早,患者的治疗效果和预后越好,病死率发生越少.
Effects of artopine on prognosis of patients with acute organophosphorus pesticide poisoning: 208 cases report
AIM: To study the effects of artopine on the prognosis of 208 patients with acute organophosphorus pesticide poisoning ( AOPP). METHODS: The acute organophosphorus pesticide poisoning patients, admitted from January 2005 to December 2007 , were retrospectively analyzed. The 208 patients were divided into two groups according to the periods of reaching artopinization. Group Ⅰ reached artopinization within 3 hours (n= 103) and group Ⅱ reached atropinization beyond 3 hours ( n = 105). Complications and mortality between the two groups were compared. RESULTS: The complications and mortality in group Ⅰ were lower than those in group Ⅱ. CONCLUSION: The time of artopinization is associated with the prognosis of AOPP. The earlier the artopinization, the better the prognosis and the lower the mortality rate.

acute diseaseorganophosphorus compoundsinsecticidespoisoningatropineprognosis

肖雪、潘万福、杨光、马秀

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遵义医学院附属医院急诊科,贵州遵义,563003

急性病 有机磷化合物 杀虫药 中毒 阿托品 预后

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(2)
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