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目的分析临床有机磷中毒并发呼吸衰竭患者的因素。方法选取我院2002年1月-2012年4月期间门诊收入的有机磷中毒患者260例作为研究对象。130例并发呼吸衰竭者为观察组,130例无呼吸衰竭症状者为对照组。患者入院后均及时给予洗胃等常规治疗,观察患者一般情况。结果经二分类数据回归分析显示,洗胃开始时间、尿隐血、消化道出血、肌酸激酶与有机磷中毒患者伴呼吸衰竭有密切关系,具有统计学意义(P<0.05)。结论洗胃开始时间、尿隐血、消化道出血、肌酸激酶是有机磷中毒患者并发呼吸衰竭的危险因素,临床应给予足够重视。
Objective To analyze the factors of patients with clinical organophosphate poisoning complicated with respiratory failure. Methods A total of 260 patients with organophosphate poisoning from outpatients in our hospital from January 2002 to April 2012 were selected as the research object. 130 patients with respiratory failure were the observation group, 130 patients without respiratory failure as the control group. Patients admitted to the hospital are given timely gastric lavage and other conventional treatment, observation of patients in general. Results The results of the dichotomous data regression analysis showed that gastric lavage onset time, urine occult blood, gastrointestinal bleeding, creatine kinase and organophosphate poisoning patients with respiratory failure are closely related, with statistical significance (P <0.05). Conclusions The time of gastric lavage, urine occult blood, digestive tract hemorrhage and creatine kinase are the risk factors for patients with organophosphate poisoning complicated by respiratory failure, and should be given enough attention in clinic.