42例急性有机磷中毒抢救的临床体会

目的总结急性有机磷中毒抢救的方法。方法对42例有机磷中毒患者进行持续微量泵泵入阿托品,严格观察使之阿托品化,防止出现阿托品过量以及阿托品中毒。结果 42例病例除5例死亡外,其余病例均经治疗后好转出院,治愈率88.10%。患者达到阿托品化的平均时间为(138.5±38.2)min,阿托品化需药量(78.3±6.8)mg。出现阿托品过量及中毒2例(4.76%),出现病情反跳3例(7.14%),出现中间综合征者2例(4.76%)。结论在急性有机磷中毒的抢救中使用持续微量泵入阿托品,可以降低达到阿托品化的需药量,并且可以降低出现阿托品过量及中毒的风险。

Clinical rescue experience of 42 cases of acute organophosphate poisoning

Objective To summarize the rescue method of acute organophosphate poisoning.Methods Forty-two cases of patients with organophosphate poisoning were pumped into atropine by the micro-pump continually.Strict observation was done before atropinization was completed in order to prevent excessive Atropine intake and atropine poisoning.Results Five out of 42 cases were reported dead and the remaining cases were improved and discharged after treatment.The total cure rate was 88.10%.The average atropinization time ...