活性炭胃肠灌洗抢救重症有机磷农药口服中毒患者的临床研究.pdfVIP

实用护理杂志 2000 年第 16 卷第 9 期总 189 期 ·5 · ·护理研究· 活性炭胃肠灌洗抢救重症有机磷农药口服 中毒患者的临床研究 周丰美 ,冯志娟 ,鲍琴华 ,徐香梅 (江苏省金坛市人民医院 ,江苏 金坛 213200) 摘要 : 目的:研究活性炭胃肠灌洗对急性重症有机磷农药口服中毒患者阿托品用量及病程的影响。方法 :50 例重症 甲胺磷中毒患者同期随机分为对照组25 例 ,实验组 25 例。对照组采用传统方案治疗 ;实验组采用传统方案加活 性炭胃肠灌洗。活性炭用量依据灌洗前后胃液甲胺磷含量测定值 ,分别测定 2 组病人阿托品用量及病程 ,并进行 ( ) 对照。结果 :实验组阿托品用药总量与住院日数均低于对照组 ,具有高度显著性差异 P 0. 001 。结论:活性炭胃 肠灌洗救治急性重症有机磷中毒 ,可明显减少阿托品用药总量 ,显著缩短患者住院日数 ,降低死亡率。 关键词 :急性有机磷中毒 ;活性炭 ; 胃肠灌洗 ( ) 中图分类号:R595. 4 　　文献标识码 :A 　　文章编号 :1002 - 0780 2000 09 - 0005 - 02 Clinic Study of Activated Charcoal Gastroenteric Irrigation to the Dose Organ Phosphorus Intox icated Patients ZHOU Fengmei , FEN G Zhijuan , BA O Qinhua , XUN Xian gmei ( ) People ’s Hospital of Jintan , Jintan 213200 , China Abstract :To study the effect of activated crarco irrigation to the dose of atropine and course of dueast for acute and serious organphosphorus intoxicated patients. Methods :50 seriously poinsoned methami dopho patients are divided into experimen tal group and comparable group at random at the sametime ,each group has 25 patients. The patients in comparable group are treated in traditional way ,while the patients in experimental group are treated in traditional and activated charcoal irri gation way. The atropine dose bases on the measurement of the content of metham dopho