急性有机磷农药中毒反跳34例临床护理分析

目的探讨急性有机磷农药中毒(AOPP)反跳发生的原因及护理方法。方法分析425例AOPP患者临床资料,其中34例发生反跳,反跳发生率为8.0%,分析比较患者中毒反跳原因及护理对策。结果 34例患者中32例经抢救痊愈,2例死亡,反跳患者死亡率为5.9%。乐果中毒反跳率最高,氧化乐果次之,其次为对硫磷、DDV、马拉硫磷、其它有机磷,敌百虫中毒反跳率最低,相互间比较差异无统计学意义(P>0.05);重度中毒反跳率最高(17.5%),中度中毒次之(9.6%),轻度中毒最低(2.4%),相互间比较差异有统计学意义(P<0.01)。结论医护人员应时刻关注中毒患者病情,重视中毒反跳的发生,及时采取针对性的治疗护理措施,提高中毒患者抢救成功率。

Clinical analysis of 34 cases of acute organophosphorus pesticide poisoning rebound

Objective To analyze the rebound causes and methods of care to acute organophosphorus pesticide poisoning （AOPP）. Methods The clinical data of survey of 425 cases of AOPP were analyzed, 34 cases of which rebounded, rebound happen rate was 8.0%, the rebound causes and care strategies of patients with poisoning were analyzed and compared. Results 32 cases were cured after the rescue, 2 cases were dead, the mortality rate of these rebounded patients was 5.9 % ; dimethoate poisoning rebound rate was the highest, followed by that of omethoate, and then parathion, DDV, malathion and other organophosphorusminimum, the rebound rate of trichlorfon poisoning was the lowest, the difference among groups was not statistically significant （P〉0. 05） with each other~ severe poisoning rebound rate （17.5% ）, moderate poisoning （9.6 %）, mild poisoning minimum （2.4 %）, the mutual difference was statistically significant （P〈0.01）. Conclusion Clinical staff should always pay attention to the poisoned patientrs condition, attach importance to the occurrence of poisoning rebound, and take timely and targeted treatment and care measures, improve the success rate of rescuing the poisoning patients.