Acute severe organophosphorus pesticide poisoning and first aid care of 50 cases.docVIP

 PAGE \* MERGEFORMAT 8 Acute severe organophosphorus pesticide poisoning and first aid care of 50 cases [Abstract] summarized 20 cases of severe acute organophosphorus pesticide poisoning were first aid and nursing experience, a thorough understanding of early gastric lavage as soon as possible atropinization, according to the disease at any time to adjust the dosage of atropine, respiratory support, airway management, promote functional recovery of the digestive tract is the key to successful treatment. [Keywords:] organophosphorus pesticide poisoning Organophosphate insecticide toxicity to humans and animals mainly for the inhibition of acetylcholinesterase, causing accumulation of acetylcholine, so that cholinergic nerve impulses by the continuing, resulting in failure after the first series of exciting muscarinic, nicotinic and central nervous system symptoms in patients with severe respiratory failure may be due to coma and death. [1] Early basic life support, thorough gastric lavage, atropine and reasonable, is the key to successful treatment. now I admitted from 2002 to 2009 50 cases of patients with severe organophosphate poisoning First aid and nursing are summarized below. 1 Clinical data 1.1 General Information of this group 50 patients, 24 males and 26 females, aged 16 to 62 years, mean 35.2 years of age, were poisoned by the oral, oral volume of 100 ~ 400ml, after taking poison treatment of 15 patients within 1h, 6h in 30 cases, 5 cases of the specific poison remaining time is unknown; admission showed a coma patient, double miosis, respiratory weak, 6 to 8 times / min, was sighing like breathing or apnea, heart rate 20 to 50 times / min, 26 blood pressure, blood cholinesterase in all patients decreased significantly, 55 ~ 326U / L (photoelectric colorimetry, normal 4500 ~ 10000U / L), are in line with acute severe organophosphorus pesticide poisoning diagnostic criteria [1]. 1.2 The treatment and outcome of patients