28例急性有机磷农药中毒并呼吸衰竭急诊抢救分析
Clinical analysis of emergency rescue of 28 patients with acute organophosphorus pesticide poisoning and respiratory failure
李学杰 1李蕴1
作者信息
摘要
目的：探讨分析急性有机磷农药中毒并呼吸衰竭较为有效的急诊抢救措施。方法：回顾性分析2011年10月至2013年11月在我院进行治疗的28例急性有机磷农药中毒并呼吸衰竭患者的临床记录资料。结果：治疗组的抢救成功率为92.86%，高于对照组的57.14%，具有显著性差异（P<0.05）。治疗组的机械通气时间、神志清醒时间、ICU停留时间和CHE活力恢复60%时间均少于对照组，具有显著性差异（P<0.05）。结论：连续性静脉-静脉血液滤过（CVVH）治疗急性有机磷农药中毒并呼吸衰竭的临床疗效显著，具有临床推广应用价值。
Abstract
Objective: To investigate effective emergency rescue measures in treatment for patients with acute organophosphorus pesticide poisoning and respiratory failure. Methods:Clinical data of 28 patients with acute organophosphorus pesticide poisoning and respiratory failure in our hospital from October 2011 to November 2013 were reviewed . Results: After treatment, the successful rescue rate of treatment group (92.86%)was significantly better than that of the control group(57.14%)(P<0.05). Duration of mechanical ventilation , sane time , ICU stay , and 60% of the time to revitalize CHE of the treatment group were significantly lower than that of the control group ( P<0.05 ).Conclusion: Continuous veno- venous hemofiltration (CVVH) treatment of acute organophosphorus pesticide poisoning and respiratory failure has significant clinical effect.
关键词
有机磷中毒/呼吸衰竭/急诊Key words
organophosphorus pesticide poisoning/respiratory failure/Liver failure/emergency rescue引用本文复制引用
出版年
2014
NETL
NSTL
万方数据