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对重症有机磷药物中毒病人,及时有效的彻底洗胃、清除体内毒物、阻断毒物继续吸收是抢救病人生命的重要环节,当伴有呼吸循环衰竭时,需立即气管内插管行心肺复苏,由于气管内插管后,导管压迫食管,使胃管不能插入而延误时间,不能及时有效的清除胃内毒物使中毒继续加深而导致病人死亡.国内外文献报道,遇此情况多采用经腹切开洗胃,此法复杂且创伤性大,感染机会多,抢救成功率较低.我科近来采用经口明视下气管导管及洗胃管同时分别置入技术用于重症有机磷中毒并呼吸循环衰竭病人,取得满意效果.现总结如下:
Severe organophosphate poisoning patients, timely and effective thorough gastric lavage, purging the body of toxic substances, blocking the continued absorption of poison is an important part of saving the lives of patients, when accompanied by respiratory failure, the need for endotracheal intubation cardiopulmonary resuscitation, Due to endotracheal intubation, the catheter oppression of the esophagus, so that the stomach can not be inserted into the tube and delay the time, can not promptly and effectively remove the toxic substances in the stomach to deepen the poisoning and lead to death of the patient .In the literature, in this case, the use of transabdominal transection Open the gastric lavage, this method is complex and traumatic, the chance of infection and rescue success rate is low.Our department has recently adopted oral clear tube and gastric lavage tube into the technology for severe organophosphate poisoning and breathing Circulation failure patients, with satisfactory results are summarized as follows: