急性有机磷农药中毒水电解质紊乱的防治

目的:探讨急性有机磷农药中毒(AOPP)患者水、电解质紊乱的防治及支持治疗.方法:分析32例AOPP患者中水、电解质紊乱的特点及原因.结果:在79例AOPP患者中,水、电解质紊乱发生率40.5%,低钠血症最多见,其次为低钾、低氯血症,死亡5例.结论:正确掌握补液原则,及时纠正水电解质紊乱,合理营养支持治疗,对提高AOPP患者救治率起重要作用.

Water and Electrolyte Disorders and Their Supporting Treatment during Acute Organophosphorus Pesticide Poisoning

Objective:To approach the prevention and supporting treatment of water and electrolyte disorders in patients with acute organophosphorus pesticide poisoning (AOPP). Methods:To analyze the features and causes of water and electrolyte disorders in 32 patients with AOPP. Results:The incidence of water and electrolyte disorders was 40.5% among 79 patients. The commonest disorder was hyponatremia, followed by hypokalemia and hypochloremia, 5 patients died. Conclusion:Correct handling of the principles of fluid replacement, prompt correction of water and electrolyte disorders and rational supporting treatment with nutrients play an important role in increasing the cure rate of AOPP.