摘要
目的 :探讨急性有机磷中毒中间期肌无力综合征的护理。方法 :采取有效的急救与护理措施 ,治疗护理有机磷继发中间期肌无力综合征 2 2例。结果 :2 2例中 2 0例安全度过呼吸肌麻痹所致的缺氧危险期 ,无并发症 ,分别于 8～ 2 6d治愈出院。 1例气管插管后心跳骤停 ,1例经皮气管切开后并发多脏器功能衰竭抢救无效死亡 ,成功率 90 9%。结论 :对急性有机磷中毒患者需严密观察有无中间期肌无力综合征的先兆征象 ,肌无力及肌麻痹症状 ,作出前瞻性判断。一旦出现呼吸肌麻痹 ,要尽早建立人工气道和机械辅助呼吸 ,保证氧气供应是抢救成功的关键。同时做到人机协调 ,湿化气道 ,保证气道通畅和防止并发症 ,注意锻炼患者的呼吸肌 ,掌握好撤机指征。
Objective:To research about clina intermediate stage myoasthenia syndrom after acute organic phosphorate intoxication.Method:22 cases with intermediate stage myoasthenia syndrom received effective rescue and nursing.Result:20 cases survived through ischemic dangerous stage of respiratory muscle paralysis without any complications,discharged 8～26 days later;1 case suffured from heart sudden failure,1 case died from multiorgan failure even with trachea incision and rescue,successful ratio 90.9%.Conclusion:Acute organic phosphorate intoxication patients should be observated for sign of intermediate stage myoastheria,received mechanic auxillary ventilation and artificial air tract as soon as possible,encouraged to exercise respiratory muscle.
出处
《齐鲁护理杂志》
2004年第2期92-94,共3页
Journal of Qilu Nursing
