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目的对重症有机磷农药中毒者的急救方法进行分析。方法 20例接受急救治疗的重症有机磷农药中毒患者作为研究对象,按照随机原则分为对照组与观察组,每组10例。两组均接受常规治疗,其中对照组在此基础上予以血液灌流,观察组在对照组的治疗基础上予以连续性静脉-静脉血液滤过。对比分析两组患者的临床治疗效果以及通气清醒时间。结果观察组治疗总有效率90.00%高于对照组40.00%,差异具有统计学意义(P<0.05)。观察组通气清醒时间(35.22±5.34)h短于对照组(60.38±5.26)h,差异具有统计学意义(P<0.05)。结论对重症有机磷农药中毒者而言,在常规治疗基础上予以序贯性血液净化治疗不仅可以有效提高其急救效果,而且还大大缩短了其治疗的时间,改善患者的恢复状况,值得推广。
Objective To analyze the emergency methods of severe organophosphorus pesticide poisoning. Methods Twenty patients with severe organophosphorus pesticide poisoning receiving emergency treatment were divided into control group and observation group according to the random principle, with 10 cases in each group. Both groups received routine therapy, in which the control group was on the basis of hemoperfusion, the observation group on the basis of the treatment of patients with continuous veno-venous hemofiltration. Comparative analysis of two groups of patients with clinical treatment and ventilatory recovery time. Results The total effective rate in observation group was 90.00%, which was significantly higher than that in control group (40.00%) (P <0.05). The duration of remission (35.22 ± 5.34) h in observation group was shorter than that in control group (60.38 ± 5.26) h, the difference was statistically significant (P <0.05). Conclusion For patients with severe organophosphorus pesticide poisoning, sequential blood purification treatment based on routine treatment can not only effectively improve the first aid effect, but also shorten the treatment time and improve the recovery of patients, which is worth promoting.