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目的探讨基层医院救治有机磷农药中毒的方法。方法选取我院在2014年2月至2015年1月间收治的有机磷农药中毒患者45例,回顾性分析患者的临床资料,对抢救方法进行分析,评估患者的抢救效果。结果 1轻度患者住院时间(5.54±3.12)d,中度患者为(10.12±3.19)d,重度患者为(13.21±2.23)d。轻度中毒患者的住院时间短于中度与重度患者,对比有统计学意义(P<0.05)。2轻度患者抢救成功率为100.00%,中度患者抢救成功率为92.86%,重度患者抢救成功率为71.43%。轻度患者的成功率高于中度、重度患者,对比有统计学意义(P<0.05)。结论有机磷用药中毒患者尽早接受抢救的治疗关键,在抢救中使用解毒剂、彻底洗胃可改善患者病情。
Objective To explore the method of treating organophosphorus pesticide poisoning in primary hospitals. Methods 45 cases of organophosphate pesticide poisoning admitted from February 2014 to January 2015 in our hospital were selected. The clinical data of the patients were retrospectively analyzed. The salvage method was analyzed to evaluate the salvage effect of the patients. Results The duration of hospital stay was (5.54 ± 3.12) days in mild patients, (10.12 ± 3.19) days in moderate patients and (13.21 ± 2.23) days in severe patients. Mild poisoning patients hospitalized shorter than moderate and severe patients, the difference was statistically significant (P <0.05). The successful rate of salvage for 2 mild patients was 100.00%, the successful rate of salvage for moderate salvage was 92.86% and the salvage rate for severe salvage was 71.43%. The success rate of mild patients was higher than that of moderate and severe patients, the difference was statistically significant (P <0.05). Conclusion Patients with organophosphate poisoning as the key to the early rescue treatment, the use of antidote in the rescue, gastric lavage thoroughly to improve the patient’s condition.