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探讨急性重度有机磷农药中毒致呼吸衰竭患者的临床急诊急救措施

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目的:探讨急性重度有机磷农药中毒致呼吸衰竭患者的临床急诊急救措施。方法:选取2010年1月~2014年1月在我院确诊为急性有机磷农药中毒致呼吸衰竭的患者60例作为研究对象,随机分为A组30例和B组30例,首先两组都需要进行吸氧、输液、抗生素等常规的治疗使其尽量达到阿托品化, A组使用呼吸机,B组只进行常规治疗。对比分析两组的治疗效果和治疗前后血气分析的值。结果:B组较A组在PaO2、PaCO2和PH值的改善上非常明显,两组比较具有统计学意义(P<0.05)。结论:在治疗重度有机磷农药中毒的过程中增加呼吸机的治疗可以得到更好的效果,有效的缓解呼吸衰竭,值得在临床上应用和推广。
To investigate the clinical emergency treatment measures for patients with respiratory failure caused by acute severe organophosphorus pesticide poisoning
To explore the clinical emergency treatment measures for patients with respiratory failure caused by acute severe organophosphorus pesticide poisoning.Method:Divided 60 acute severe organophosphorus pesticide poisoning who were diagnosed in our hospital from January 2012 to January 2014 into A and B group,each group had 30 cases.Treatment of the two groups included oxygen, infusion, antibiotics and other conventional make it as much as possible to achieve atropinization, group A was given ventilator,while group B only received conventional therapy. Compared two groups’ value of blood gas before and after the treatment. Results: B group’s PaO2, PaCO2 and pH value of the improvement were more obvious than A group, the two groups was statisticaly significant (P<0.05).Conclusion: The increase of ventilator in the treatment of severe organophosphorus pesticide poisoning can get better effect, effectively relieve respiratory failure, it is worthy of clinical application and promotion.

severe organophosphorus pesticidepoisoningrespiratory failureemergency measures

黄仁鹏

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甘肃省武威市凉州医院 733000

重度有机磷农药 中毒 呼吸衰竭 急诊急救措施

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(25)
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