论文部分内容阅读
目的 探讨急性有机磷农药中毒 (AOPP)中间综合征 (IMS)患者机械通气治疗的时机及对预后的影响 .方法 对 5 4例 IMS患者随机分成即刻通气组与延时通气组 .通过观察 Pa O2 ,Sa O2 ,Pa CO2 ,呼吸频率、存活率、死亡率和恢复时间等指标 ,比较即刻与延时使用机械通气的疗效 .结果 即刻通气比延时通气 Pa O2 ,Sa O2 和 Pa CO2 明显改善 ,死亡率明显降低 ,恢复时间明显缩短 ,存活率提高 (P<0 .0 5 ) ,呼吸频率无明显差异 (P>0 .0 5 ) .结论 重度有机磷中毒患者在出现 IMS症状时 ,应尽早使用机械通气治疗 ,即刻通气较延时通气预后好 .
Objective To investigate the timing and prognosis of mechanical ventilation in patients with acute organophosphorus pesticide poisoning (AOPP) intermediate syndrome (IMS) .Methods Fifty-four patients with IMS were randomly divided into immediate ventilation group and delayed ventilation group. , Respiratory rate, survival rate, death rate and recovery time were compared between immediate and delayed mechanical ventilation.Results PaO2, PaO2, PaO2 and PaO2 were significantly improved after instant ventilation, The mortality was significantly reduced, the recovery time was significantly shortened, the survival rate increased (P <0.05), no significant difference in respiratory rate (P> 0.05) .Conclusion Severe organophosphate poisoning in patients with IMS symptoms should be as soon as possible The use of mechanical ventilation, immediate ventilation than delayed ventilation, good prognosis.