PHC treatment of 52 cases of organophosphorus pesticide poisoning and first aid care.docVIP

 PAGE \* MERGEFORMAT 6 PHC treatment of 52 cases of organophosphorus pesticide poisoning and first aid care [Keywords:] PHC; organophosphorus pesticide poisoning; Care Organophosphorus pesticide poisoning is a common medical emergency in a critical condition variable, the new anti-cholinergic drugs Penehyclidine the use of improved methods of organic phosphorus pesticide treatment to improve the treatment level and reduce the mortality of patients poisoned. Our hospital in March 2008 to March 2009, 52 patients were treated by aggressive treatment and careful nursing, and achieved good results. now reported as follows Nursing. Clinical data The 52 cases, according to a history of exposure, symptoms, signs, diagnosis of cholinesterase activity detection of organic phosphorus pesticide poisoning. And in accordance with symptoms, signs, cholinesterase activity divided into mild, moderate and severe poisoning. Where M 15 and 37 females, the oldest 68 years old, minimum of 14 years, mean 36 years. mild poisoning in 12 cases, moderate in 36 cases, 4 cases of severe poisoning, all recovered without any sequelae. nursing 1. is not completely clear remove toxic poison absorption of organophosphorus pesticide poisoning is to save the key measures. organophosphorus pesticide poisoning by the oral must complete gastric lavage as soon as possible, even more than 6 hours, gastric lavage should be actively and thoroughly and repeatedly washed until the eluate to clarify the non-toxic color and odor up. cleaning the body, take off contaminated clothing, wash repeatedly with water pollution, skin, hair, nails gap site. As the organic phosphorus pesticide is fat soluble, and 250 ml 20% mannitol can be used by the gastric tube implantation, or sodium sulfate for catharsis. 2. Use of toxic drugs in patients with organophosphate poisoning, respectively mild, moderate and severe poisoning were given intramuscular injection of PHC 1 ~ 2 mg, 2 ~ 4 mg, 4 ~ 6 mg, while usi