两种洗胃法对重度有机磷农药中毒患者的效果观察.pdfVIP

实用临床医学2007年第8卷第12期 Practical Clinical Medicine，2007，Vol 8，Nol2 两种洗胃法对重度有机磷农药中毒患者的效果观察 吴洁华，何 亮．，胡 敏，江 岚，张华虹 (南昌大学第二附属医院急诊科，南昌330006) 摘要：目的：为了提高临床重度有机磷农药中毒病人的救治成功率，探讨应用鼻胃管接低压多功能引流袋在重度 有机磷农药中毒病人再次洗胃中应用的效果。方法：通过对64例由临床医生依照AOPP诊断标准诊断为重度有 机磷农药中毒病人，随机分为两组，即观察组和对照组，每组 32人。第一次使用洗胃机常规洗胃后，治疗组几小时 后从患者鼻腔插入鼻饲胃管用三通接低压多功能引流袋为病人再次洗胃；对照组在第一次常规洗胃后，拔出胃管， 几小时后仍经口插入胃管接洗胃机按常规洗胃方法再次洗胃，然后通过观察两组病人的病情变化，阿托品的用量、 患者清醒时间、胆碱酯酶等。结果 经两组患者疗效比较及两组患者采用不同洗胃方式效果比较，两组差别极显 著，观察组的病人能配合治疗。结论：使用低压多功能引流袋为重症中毒患者再次洗胃不仅可以阻断毒物的再吸 收，同时可减少因再次洗胃而引起各种并发症，可以减少阿托品的用量，降低并发症的发生率，明显改善患者预后， 操作简单、应用方便。 关键词：重症中毒；多功能引流袋；再次洗胃 中图分类号：R595．4 文献标识码：A 文章编号：1009—8194(2007)12一O1O7一O3 Investigation of the Result on the Two Diffierent Washing Stomach Method to Severe orgna0ph0sph0rus Poisoning WU Jic-hua，HE Liang，HU Min，JIANG Lan，ZHANG Hua-hong (Department of Emergency，the Second Affiliated Hospital of Nanchang University，Nanchang 330006，China) Abstract：Objective：To improve the success ratio in rescuing the severe poisoning patients and probe into the effect of hypobaric mutifuntional drainage bag in re—washing the patients stomach． Methods：64 patients who were diagnosed as severe poisoning according to clinicals were divided into 2 groups randomly．Observation group and control group．Each group had 32 patients．Stom— ach re-washing was given after processing multifunctional drainage bad for those conventionally stomach washed patients in treating(observation)group while conventional stomach re—washing was given several hours later in treating group．Then illness states of patients were observed in tWO groups，whether they had inj ury of stomach membrane，rales in lung，and cooperation in washing stomach．Results：There was significan difference between treating and control group af— ter