生命支持下改良洗胃术抢救有机磷农药中毒呼吸衰竭研究

发布时间：2018-11-24 11:42

【摘要】：目的在临床工作中认真总结经验,寻找最佳洗胃方法,提高洗胃质量,给重度有机磷农药中毒患者带来生机。方法将49例急性有机磷农药中毒致呼吸衰竭的患者分为两组,对照组(23例)进行传统洗胃,观察组(26例)采取改良洗胃术,迅速给予气管插管、呼吸机辅助呼吸,维持生命体征。地塞米松迅速消除咽部水肿,经鼻插入胃管进行间断降梯式反复洗胃,留置胃管持续负压引流、碱化溶解等措施。结果观察组采用改良洗胃术,反复插胃管率降低,能迅速达阿托品化,对胃黏膜的损伤小,预后良好,与对照组传统的洗胃方法比较,差异有统计学意义(P0.05)。结论生命支持下改良洗胃术抢救有机磷农药中毒呼吸衰竭患者,洗胃彻底,不良反应小,预后良好,方法优于传统洗胃术,抢救成功率大大提高,病死率逐渐降低。
[Abstract]:Objective to summarize the experience in clinical work, to find the best method of gastric lavage, to improve the quality of gastric lavage, and to bring life to the patients with severe organophosphorus pesticide poisoning. Methods Forty-nine patients with respiratory failure caused by acute organophosphorus pesticide poisoning were divided into two groups: the control group (23 cases) received traditional gastric lavage, the observation group (26 cases) received modified gastric lavage, tracheal intubation and ventilator assisted respiration. Maintain vital signs. Dexamethasone quickly eliminated the edema of pharynx and inserted gastric tube through nose to wash stomach repeatedly with intermittent descending ladder. Results in the observation group, the rate of gastric tube was decreased by modified gastric lavage, the rate of gastric tube was decreased, and atropine was rapidly achieved. The gastric mucosa was damaged little and the prognosis was good. The difference was statistically significant compared with the traditional gastric lavage method in the control group (P0.05). Conclusion the modified gastric lavage under the support of life to rescue the patients with respiratory failure caused by organophosphorus pesticide poisoning has the advantages of thorough gastric lavage, small adverse reaction and good prognosis. The method is superior to the traditional gastric lavage, and the success rate of rescue is greatly improved, and the mortality rate is gradually reduced.
【作者单位】： 贵州省黔西南州人民医院急诊科;
【基金】：贵州省黔西南州科学技术局科技计划项目(2013-47)
【分类号】：R595.4;R563.5
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本文编号：2353567