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
To investigate the clinical emergency treatment measures for patients with respiratory failure caused by acute severe organophosphorus pesticide poisoning
黄仁鹏1
作者信息
摘要
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。
Abstract
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.
关键词
重度有机磷农药/中毒/呼吸衰竭/急诊急救措施Key words
severe organophosphorus pesticide/poisoning/respiratory failure/emergency measures引用本文复制引用
出版年
2014
NETL
NSTL
万方数据