急性有机磷农药中毒的护理知识查房中英文.ppt

护理评估 Nursing assessment 莫思慧 急性有机磷中毒分为轻、中、重三级： 轻度中毒：头晕、头痛、恶心、呕吐、多汗、流涎、视力模糊、瞳孔缩小、全血胆碱脂酶活力一般在70％－50％。 AOPP can be divided into 3 grades: mild, moderate, severe Mild poisoning：dizziness, headache, nausea,vomiting, sweating, salivation, blurred vision, miosis, and the whole blood cholinesterase activity was in the 50 ~ 70% 护理评估 Nursing assessment 中度中毒：除上述症状外，还出现肌纤维颤动、瞳孔明显缩小、轻度呼吸困难、大汗、腹痛、腹泻、意识清楚或轻度障碍、步态蹒跚。全血胆碱脂酶活力降至50％－30％ 。 Moderate poisoning：In addition to these above, symptoms also include muscular fibrillation, mild dyspnea, sweat, abdominal pain, diarrhea, clear or mild disorders of consciousness, and staggering gait. Whole blood cholinesterase activity declined to 50% -30%. 护理评估 Nursing assessment 重度中毒：除上述症状外，发生肺水肿、惊厥、昏迷及呼吸麻痹。全血胆碱脂酶活力降至30％以下。 Severe poisoning：In addition to these above, symptoms also include pulmonary edema, convulsions, coma and respiratory paralysis. Whole blood cholinesterase activity declined to below 30% . 护理评估 Nursing assessment 王丽炜 有机磷农药中毒后，经急救临床症状好转，可在数日到一周内突然再次发生昏迷，甚至发生肺水肿或突然死亡，此为中毒后反跳现象。 Organophosphorus pesticide poisoning were the first aid clinical symptom, can be in a few days to get better within a week, even happen again suddenly a pulmonary edema or sudden death, says bounce phenomenon . 护理评估 Nursing assessment 这与残留在皮肤、毛发和胃肠道的有机磷农药重吸收或解毒药 停用过早或减量过快等原因有关。 This and remain in the skin, hair and the gastrointestinal tract is absorbed by heavy or antidote to credit dose or reasons such as too early on. 护理评估 Nursing assessment 在急性中毒症状缓解后迟发性神经病变发病前，一般在中毒后24~96小时突然发生以呼吸肌麻痹为主的症状群，称“中间型综合征”。 In patients with acute poisoning symptoms after the late-occurred neuropathy, generally in the poisoning before 24 to 96 hours after happen suddenly by respiratory muscular paralysis primarily the symptoms, says middle type syndrome. 护理评估 Nursing assessment 发病机制可能与胆碱酯酶长期受到抑制，影响神经肌肉接头突触后功能有关。 The mechanism may and cholinesterase long-term effect is restrained, neuromuscular postsynaptic functioning. 治疗原则