机械通气治疗急性重度有机磷农药中毒并呼吸衰竭的临床研究

目的 探讨机械通气在急性重度有机磷农药中毒( ASOPP)并呼吸衰竭患者救治中的临床价值.方法 分析2003年5月至2010年12月收治的ASOPP合并呼吸衰竭患者92例,其中机械通气治疗组(A组)47例,未行机械通气治疗组(B组)45例,比较两组住院时间及临床疗效.结果 A组住院时间明显短于B组(P＜0.01),而临床疗效显著高于B组(P＜0.01).结论 机械通气是救治ASOPP并呼吸衰竭的重要方法,能显著提高临床治愈率,缩短住院时间.

Clinical study of mechanical ventilation on the patients with acute severe organophosphorus pesticide poisoning and respiratory failure

Objective To investigate the clinical value of mechanical ventilation on the patients with acute severe organo phosphorus pesticide poisoning and respiratory failure.Methods From May 2003 to December 2010,a total of 92 cases with ASOPP and respiratory failure were analyzed retrospectively.In these cases,47 patients were treated with mechanical ventilation(group A) and 45 patients were not treated with mechanical ventilation(group B).The length of hospitalization and curative effect were compared.Results The length of hospitalization was significant shorter and the curative effect was more apparent in the group A than those in the group B(P<0.01).Conclusion Mechanical ventilation is an important method to treat ASOPP with respiratory failure.It can remarkably increase the incidence of clinical healing and shorten the length of hospitalization.