呼吸机在有机磷农药中毒中间综合征中的应用

目的探讨呼吸机机械通气在急性有机磷农药中毒(AOPP)救治过程中出现中间综合征(IMS)后的应用价值。方法回顾性分析我科收治的124例急性有机磷农药中毒(AOPP)患者中36例出现中间综合征后采用呼吸机机械通气治疗的有效性。结果 36例中间综合征(IMS)患者均采用有创机械通气,30例存活,6例死亡,死亡率16.7%。结论对于急性有机磷农药中毒(AOPP)患者,早期识别中间综合征(IMS),早期行呼吸机辅助机械通气治疗是抢救成功的关键,可明显降低死亡率。

Ventilator in the intermediate syndrome of organophosphorus pesticide poisoning

Objective To explore the ventilator-assisted mechanical ventilation in the application of intermediate syndrome(IMS) in treatment process of acute organophosphorus pesticide poisoning(AOPP).Methods A retrospective analysis was made in 36 cases of intermediate syndrome in 124 AOPP patients treated in our department from April 2008 to September 2011.Results 36 cases of intermediate syndrome(IMS) all received invasive mechanical ventilation.30 patients survived,6 died,and a mortality rate of 16.7%.Conclusion Early identification of intermediate syndrome(IMS) and early using ventilator-assisted mechanical ventilation are the key to successful treatment and can significantly reduce mortality with regard to AOPP patients.