改良洗胃法用于药物中毒患者的临床观察

目的 探讨中毒患者洗胃的最佳方法.方法 对128例口服药物中毒患者,随机分为观察组68例和对照组60例.观察组采用改良法,去枕左侧卧位,并使用塑料口咬协助捕管.置管成功后再延长插入胃管长度10-15 cm,采用低压少量洗胃液反复洗胃;对照组采用传统洗胃法,观察比较2组一次插管成功例数.不良反应及并发症发生情况,并对结果比较分析.结果 2组一次插入胃管成功例数观察组比对照组高,不良反应及并发症发生情况观察组比对照组降低.结论 洗胃时采用去枕左侧卧位,使用甥料口咬协助插管,延长捕胃管长度,并采用低压少量洗胃液反复洗胃的方法,较传统洗胃法一次插胃管成功率高,洗胃速度快,洗胃液引流通畅,对胃黏膜刺激、损伤小,不良反应轻,并发症少,洗胃效果好.

Clinical observation of modified gastric lavage in patients with drug intoxication

Objective To discuss the best way of gastric lavage in patients with drug intoxication.Methods Patients with drug intoxication(128 cases)were divided into the observation group(68 cases)and the control group(60 cases).The observation group adopted modified method,left lateral decubitus without pillow,plastic mouth-gap to assist intubation,the tube Was prolonged 10 to 15 cm after successful intubation,then repeated gastric lavage with little lavage liquid was carried out under low pressure.The control group was treated with routine method.One-time success rate of intubation,the incidence of adverse reaction and complications were observed and compared between the two groups.Results One-time success rate of intubation was higher,and the incidence of adverse reaction and complications were lower in the observation group compared with those of the control group.Conclusions The modified gastric lavage method,that is,left lateral decubitus without pillow,plastic mouth-gap to assist intubafion,the tube was,prolonged 10 to 15 cm after successful intubation,then repeated gastric lavage with little lavage liquid,is better than the routine method in the following aspects,higher one-time success rate of intubation,rapid gastric lavage,patency of drainage,little stimulation and injury of gastric mucosa,light adverse reaction and complication and better lavage effect.