摘要
目的:为了提高临床重度有机磷农药中毒病人的救治成功率,探讨应用鼻胃管接低压多功能引流袋在重度有机磷农药中毒病人再次洗胃中应用的效果。方法:通过对64例由临床医生依照AOPP诊断标准诊断为重度有机磷农药中毒病人,随机分为两组,即观察组和对照组,每组32人。第一次使用洗胃机常规洗胃后,治疗组几小时后从患者鼻腔插入鼻饲胃管用三通接低压多功能引流袋为病人再次洗胃;对照组在第一次常规洗胃后,拔出胃管,几小时后仍经口插入胃管接洗胃机按常规洗胃方法再次洗胃,然后通过观察两组病人的病情变化,阿托品的用量、患者清醒时间、胆碱酯酶等。结果:经两组患者疗效比较及两组患者采用不同洗胃方式效果比较,两组差别极显著,观察组的病人能配合治疗。结论:使用低压多功能引流袋为重症中毒患者再次洗胃不仅可以阻断毒物的再吸收,同时可减少因再次洗胃而引起各种并发症,可以减少阿托品的用量,降低并发症的发生率,明显改善患者预后,操作简单、应用方便。
Objective：To improve the success ratio in rescuing the severe poisoning patients and probe into the effect of hypobaric mutifuntional drainage bag in re-washing the patients stomach. Methods：64 patients who were diagnosed as severe poisoning according to clinicals were divided into 2 groups randomly. Observation group and control group. Each group had 32 patients. Stomach re-washing was given after processing multifnnctional drainage bad for those conventionally stomach washed patients in treating（observation ）group while conventional stomach re-washing was given several hours later in treating group. Then illness states of patients were observed in two groups, whether they had injury of stomach membrane, tales in lung, and cooperation in washing stomach. Results：There was significan difference between treating and control group after statistical analysis. Conclusion： It＇s concluded that hypobaric muhifunctional drainage bag could block reabsorption of poison and reduce complications,which had convenient and simple application.
出处
《实用临床医学（江西）》
CAS
2007年第12期107-109,共3页
Practical Clinical Medicine
关键词
重症中毒
多功能引流袋
再次洗胃
severe poisoning
mutifunctional drainage bad
stomach re-washing
