急性重度有机磷农药中毒36例临床分析

[目的]探讨急性重度有机磷农药中毒抢救过程中的救治经验。总结新方法、新措施在抢救过程中的应用疗效。[方法]对某院近年来收治的急性重度有机磷农药中毒的36例患者的抢救过程进行回顾性分析,实行持续量化静滴阿托品加间歇静注阿托品,结合血流灌注治疗的为新疗法组。传统间歇性静注阿托品未实行血流灌注治疗的为常规治疗组。观察新疗法组在抢救急性重度有机磷农药中毒过程中的治疗效果。[结果]新疗法组中,抢救成功14例,抢救成功率87.5%,阿托品过量1例。常规治疗组中,抢救成功11例,抢救成功率55%,阿托品过量3例。新疗法组在抢救成功率方面明显高于常规治疗组,新疗法组中阿托品总用量明显少于常规治疗组,住院时间明显缩短。[结论]持续静注阿托品加间歇静注阿托品,结合血流灌注可以明显提高急性重度有机磷农药中毒的抢救成功率。

ANALYSIS ON ACUTE SEVERE ORGANOPHOSPHORUS PESTICIDE POISONING IN 36 CASES

[Objective]To investigate the rescue experience of severe acute organophosphorus pesticide poisoning during the treatment.To summarize new methods,new measures in the rescue process.[Methods]In recent years,the rescues of 36 patients of acute severe organophosphorus pesticide poisoning admitted to our hospital were retrospectively analyzed.Confirmed the implementation of continuous intravenous drip of atropine plus intermittent intravenous injection of atropine combined with treatment of blood perfusion as ...