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阿托品微量泵持续静脉推注在治疗急性有机磷农药中毒中的临床应用
引用本文:钟志越,何岱昆,黎俊,张宝成,申捷. 阿托品微量泵持续静脉推注在治疗急性有机磷农药中毒中的临床应用[J]. 中国临床医学, 2009, 16(5): 816-818
作者姓名:钟志越  何岱昆  黎俊  张宝成  申捷
作者单位:复旦大学附属金山医院化学伤害救治中心ICU,上海,200540
基金项目:上海市公共卫生重点科学建设项目资助(08GWZX0404)
摘    要:目的:探讨阿托品微量泵持续静脉推注在治疗急性有机磷农药中毒中的临床疗效。方法:将51例急性中重度有机磷农药中毒患者随机分成观察组和对照组。观察组:采用微量注射泵持续静脉推注阿托品;对照组:采用常规间断分次按时静脉推注阿托品。其他抢救措施及药物应用相同,观察比较两组的临床疗效。结果:观察组阿托品化时间、阿托品剂量及反跳和中毒的发生率与对照组相比较明显减少,治愈率为96.2%高于对照组的76.0%,差异有统计学意义(P〈0.05)。结论:阿托品微量泵持续静脉推注治疗急性有机磷中毒用药方法简便,易于观察和调整阿托品用量,能缩短阿托品化时间,减少阿托品中毒及反跳的发生率,提高抢救成功率。

关 键 词:阿托品  微量泵注射  有机磷农药中毒

Study on Atropine Injection by Micropump in Acute Organophosphorus Pesticide Poisoning Treatment
ZHONG Zhiyue,HE Daikun,LI Jun,ZHANG Baocheng,SHEN Jie. Study on Atropine Injection by Micropump in Acute Organophosphorus Pesticide Poisoning Treatment[J]. Chinese Journal Of Clinical Medicine, 2009, 16(5): 816-818
Authors:ZHONG Zhiyue  HE Daikun  LI Jun  ZHANG Baocheng  SHEN Jie
Affiliation:ZHONG Zhiyue HE Daikun LI Jun ZHANG Baocheng SHEN Jie Intensive Care Unit,Chemical Injury Treatment Center,Jinshan Hospital,Fudan University,Shanghai 200540,China
Abstract:Objective:Study on the clinical effect of atropine injection by micropump in acute organophosphorus pesticide poisoning treatment. Methods: Fifty-one patients of acute organophosphorus pesticide poisoning were divided randomly into the study and control groups. Atropine was continuously injected by micropump in the study group,while atropine was routinely injected at different time on time. Other management and medicine application were the same in the two groups,study on the clinical effect of the two grou...
Keywords:Atropine  Micropump injection  Organophosphorus pesticide poisoning  
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