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        不同院前急救措施對急性有機磷農(nóng)藥中毒愈后的影響

        發(fā)布時間:2018-06-24 來源: 感恩親情 點擊:


          [摘要] 目的 探討急性有機磷農(nóng)藥中毒患者以不同院前急救展開救治的效果。方法 依據(jù)不同院前急救方式,把方便選取67例于2012年7月—2017年7月間在該院接受治療的急性有機磷農(nóng)藥中毒患者分成兩組,32例展開一般性院前急救為基礎組,35例展開全面院前急救為全面組,對比兩組救治效果。結果 全面組癥狀消失時間為(63.41±12.03)min,阿托品化時間為(2.39±0.97)min,CHE恢復時間為(32.76±3.42)h,住院時間為(9.62±1.01)d,使用阿托品(52.27±11.97)mg,使用氯磷定(13.02±2.74)g,分別與基礎組的癥狀消失時間(98.72±14.51)min、阿托品化時間(4.61±1.02)min、CHE恢復時間(56.02±2.45)h、住院時間(13.12±1.03)d、阿托品用量(90.37±13.04)mg、氯磷定用量(22.01±3.11)g對比較少(P<0.05);全面組8.57%發(fā)生并發(fā)癥,對照于基礎組的25.00%較少(P<0.05);全面組死亡1例,基礎組死亡3例。結論 對于急性的有機磷農(nóng)藥中毒患者,展開全面的院前急救可實現(xiàn)優(yōu)越救治效果,使患者愈后提升。
          [關鍵詞] 急性有機磷農(nóng)藥中毒;院前急救;愈后
          [中圖分類號] R595 [文獻標識碼] A [文章編號] 1674-0742(2018)01(c)-0046-03
          [Abstract] Objective This paper tries to explore the effect of treatment of acute organophosphorus pesticide poisoning in patients with different pre-hospital treatment. Methods According to the different ways of pre-hospital first aid,Convenient selection the 67 cases between July 2012 and July 2017 in this hospital for treatment of acute organophosphorus pesticide poisoning patients were divided into two groups, 32 cases of general pre-hospital first aid as the basic group, 35 cases of pre-hospital first aid for a full comprehensive group, compared two groups of treatment effect. Results In the comprehensive group of symptoms disappearance (63.41±12.03)min, atropine time (2.39±0.97)min, CHE (32.76±3.42)h, (9.62±1.01)d in hospital, the use of atropine (52.27±11.97)mg, pralidoxime chloride (13.02±2.74)g, respectively, with the basic group of symptoms disappearance (98.72±14.51)min, atropine time(4.61±1.02)min, CHE(56.02±2.45)h recovery,(13.12±1.03)d in hospital, atropine dosage (90.37±13.04)mg, pralidoxime chloride dosage (22.01±3.11)g, fewer than the comprehension group(P<0.05); Complications were occurring in the comprehension group 8.57%, compared with 25.00% in the basic group(P<0.05); One case was reported death in the comprehension group, and 3 cases were found in the basic group. Conclusion In the case of acute organophosphorus pesticide poisoning, a comprehensive pre-hospital emergency treatment can achieve superior treatment effect, so that the patient can obtain postoperative improvement.
          [Key words] Acute organophosphorus pesticide poisoning; Pre-hospital first aid; Prognosis
          有機磷農(nóng)藥中毒是常見危急重癥的一種,此農(nóng)藥可通過皮膚、胃腸道等迅速被吸收[1]。對于此類患者,需及時展開救治,為對此類患者救治中不同院前急救方式的效果展開進一步探討,該次研究把出現(xiàn)急性有機磷農(nóng)藥中毒于2012年7月—2017年7月間在該院接受治療的患者分成兩組,分別展開常規(guī)、全面的院前急救,現(xiàn)對照分析兩組急救情況如下。
          1 對象與方法
          1.1 研究對象
          該次研究納入的對象為方便選取出現(xiàn)有機磷農(nóng)藥中毒在該院接受救治的患者67例,依據(jù)院前急救的差異,分組如下:基礎組32例,43.75%為男性(14例),56.25%為女性(18例),20~74歲,均值(47.2±7.4)歲,12例為誤服,14例為自殺口服,農(nóng)業(yè)生產(chǎn)意外中毒者有6例;全面組35例,48.57%為男性(17例),51.43%為女性(18例),21~74歲,均值(47.3±7.5)歲,12例為誤服,15例為自殺口服,8例為農(nóng)業(yè)生產(chǎn)意外中毒。67例患者均明確確診為急性的有機磷農(nóng)藥中毒,已將有其他嚴重疾病合并者排除。兩組上述資料對比差異無統(tǒng)計學意義(P>0.05),能對比。

        相關熱詞搜索:農(nóng)藥 急救 中毒 措施 影響

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