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急性有机磷农药中毒早期呼吸机辅助治疗的临床观察 被引量:5

The Clinical Observation of Acute Organophosphorus Pesticide Poisoning with Early Ventilator-assisted Therapy
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摘要 目的:分析研究急性有机磷农药中毒初期采用呼吸机对患者进行辅助治疗的临床治疗效果。方法:收取急性有机磷农药中毒患者30例,全部采取立即清除毒物,采用抗胆碱酯酶药物对乙酰胆碱的蓄积给予消除,采用胆碱酯酶的复能药剂使胆碱酯酶活力恢复,并且在初期采用呼吸机进行辅助治疗,观察分析其治疗效果。结果:本组治愈28例,死亡2例。治愈病例上呼吸机时间(8.75±1.31)h,自己呼吸恢复时间(10.43±2.86)h,患者意识恢复时间(11.53±3.56)h,住院时间(11.53±1.24)d。结论:急性有机磷中毒患者在初期采用呼吸机进行辅助治疗,其临床疗效显著,对出现呼吸衰竭患者非常有帮助,其是否抢救成功和初期科学合理的采用呼吸机密切相关,具有临床推广价值应用。 Objective:To study the clinical therapeutic effect of early acute organophosphorus pesticide poisoning with ventilator-assisted therapy. Method:30 cases of acute organophosphorus pesticide poisoning patients were collected,all took remove toxins immediately,gave patients anticholinesterase drugs to eliminate accumulation acetylcholine,gave patients cholinesterase complex prescription to recover cholinesterase activity,in the early gave adjuvant treatment with ventilator,its therapeutic effect was observed.Result:In this group,28 cases were cured,2 cases died.In cured patients,time of ventilator used was (8.75±1.31)h,breathing recovery time was (10.43±2.86)h,consciousness recover time was (11.53±3.56)h,hospitalization time was (11.53±1.24)d.Conclusion:The clinical curative effect of acute organophosphate poisoning patients in early adjuvant treatment with breathing machine is distinct,is helpful to patients with respiratory failure,whether the rescue success is closely related to initial stage the scientific and reasonable using ventilator, has clinical application promotion value.
作者 任继华 汪勇
出处 《中外医学研究》 2014年第2期107-108,共2页 CHINESE AND FOREIGN MEDICAL RESEARCH
关键词 急性有机磷农药中毒 呼吸机辅助治疗 Acute organophosphorus pesticide poisoning Ventilator-assisted therapy
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