急性重度有机磷农药中毒的护理

目的探讨有效抢救和治疗急性重度有机磷农药中毒的方法。方法在抢救过程中短时间内彻底洗胃,合理地应用解毒剂及复能剂,早期进行血液灌流,呼吸机的合理使用,住院期间对患者病情的密切观察与心理护理。结果 22例急性重度农药中毒抢救成功21例,成功率95.45%;死亡1例,死亡率4.55%。结论系统有效的抢救可提高急性重度农药中毒患者治愈率,降低死亡率及并发症发生率,早期进行血液灌流及机械通气能防治呼吸肌麻痹、中间综合症,而严密的病情观察及心理护理是治疗成功的关键。

The Nursing of Acute Severe Organophosphorus Pesticide Poisoning

Objective To explore the method of effective rescue and treatment of acute severe organophosphorus pesticide poisoning.Methods The gastric lavage was implemented completely in short time during the rescue process,detoxification agents and funengji were reasonably applied,early blood perfusion was implemented,the ventilator was reasonably used,during hospitalization the patients' diseases were closely observed and they were given the psychological care.Results 22 cases of acute severe organophosphorus pesticide poisoning were successfully rescued,the successful rate was 95.45%;one case was dead,the mortality was 4.55%.Conclusion The systematic and effective rescue can improve the cure rate of acute severe pesticide poisoning,reduce mortality and complications,early blood perfusion and mechanical ventilation can prevent respiratory muscle paralysis and intermediate syndrome,and rigorous disease observation and psychological care is key to successful treatment.