目的:探讨阿片类毒品中毒患者的急诊治疗方法。方法:回顾性分析我院2010年1月至2012年1月急诊收治的20例阿片类毒品中毒患者,通过清除毒物,吸氧,应用特性解毒剂等综合治疗方法。结果:18例抢救成功,成功率为90%;2例死亡,均死于呼吸衰竭;18例抢救成功患者均在15~60m i n内苏醒,平均35.8±1.5m i n;纳洛酮及阿托品使用过程中无不良反应出现。结论:阿片类毒品中毒患者临床表现特殊,在明确诊断的基础上及时给予呼吸维持、应用特性解毒剂及对症治疗是降低阿片类毒品中毒患者死亡率的关键。
Objective: To investigate the opioid drugs poisoning emergency treatment for the patients with. Methods: retrospective analysis of our hospital from 2010 January to 2012 January of 20 emergency cases of opioid drug poisoning patients, by removing poison, oxygen inhalation, application characteristics such as comprehensive treatment of antidote. Results: 18 cases were treated successful y, the success rate was 90%; 2 cases died, died of respiratory failure; 18 patients were successful y treated patients were recovery within 15~ 60min, an average of 35.8 ± 1.5min; naloxone and atropine with no adverse reactions in the process of. Conclusion: opioid drug poisoning patients with special clinical manifestation, the diagnosis of foundation on timely and respiratory support, application characteristics of antidote and symptomatic treatment is the key to reduce opioid drugs poisoning mortality.