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随着社会吸毒人员的增多,海洛因中毒人数增多。纳络酮的应用,使海洛因中毒抢救的成功率大为提高。我院自1995～2000年,总共使用纳洛酮抢救海洛因中毒40例,抢救成功率为100％。取得满意的疗效,现将总结报告如下。1 临床资料1.1 诊断标准 有吸食或注射海洛病史;出现呼吸抑制,5～7次/min;双侧瞳孔针尖样缩小;昏迷。40例患者中均符合以上标准,均为静脉注射引起中毒。有10例伴有血压下降,5例伴有心律失常,2例出现脑水肿。1.2 抢救方法 一般措施:昏迷病人保持呼吸道畅通,高浓度吸氧4～6L/min,患者清醒后调到3～4 L/min,必要时给予气管
With the increase of social drug addicts, the number of heroin poisoning has increased. Naloxone application, so that the success rate of heroin poisoning greatly improved. Our hospital from 1995 to 2000, a total of 40 cases of use of naloxone rescue heroin poisoning, rescue success rate was 100%. To obtain satisfactory results, the summary report is as follows. 1 clinical data 1.1 diagnostic criteria are history of taking or injecting heroin; respiratory depression, 5 to 7 times / min; bilateral pupil needle-like narrow; coma. 40 patients were in line with the above criteria are caused by intravenous injection of poisoning. There were 10 cases with decreased blood pressure, 5 cases with arrhythmia, and 2 cases with cerebral edema. 1.2 Rescue Methods General measures: coma patients to maintain the airway, high concentrations of oxygen 4 ~ 6L / min, the patient transferred to 3 ~ 4L / min awake, if necessary, given the trachea