院前急救中重度急性有机磷农药中毒临床效果分析.docVIP

院前急救中重度急性有机磷农药中毒临床效果分析 　　【摘要】 目的：探讨实施院前急救对治疗中重度急性有机磷农药中毒患者的临床疗效，为临床诊疗提供参考意见。方法：选取本院2012年1月-2014年3月收治的52例中重度急性有机磷农药中毒患者，根据救治方式的不同将其分为对照组22例和观察组30例，对照组患者由家属直接送入院救治；观察组患者给予院前急救指导和院前急救，对比两组患者治疗一般情况、并发症发生情况及临床疗效。结果：观察组患者经院前急救后，其ICU住院时间（49.6±6.4）h明显短于（71.5±6.3）h，阿托品使用量（191±42）mg和碘解磷定使用量（4.9±3.3）g均明显少于对照组的（327±81）mg以及（7.6±2.1）g，差异均有统计学意义（P0.05）；观察组患者的症状消失平均时间（78.1±8.3）min、阿托品化时间（3.1±1.3）min、ChE恢复时间（71.1±45.2）min，均明显短于对照组的（244.3±51.2）min、（5.9±4.2）min、（133.1±49.3）min，差异均有统计学意义（P0.05）；观察组患者经院前急救后，其入院前死亡例数为2例、入院后死亡例数为2例，总死亡率为13.3%，显著低于对照组的6例、3例以及40.9%，差异有统计学意义（P0.05）。结论：院前急救应用于中重度急性有机磷农药中毒患者中，可有效提高抢救效率，改善临床疗效，减少死亡例数，值得临床加深研究和推广应用。 　　【关键词】 院前急救； 急性有机磷农药中毒； 中重度； 临床疗效 　　Analysis of the Clinical Effect of Moderate and Severe Acute Organophosphorus Pesticide Poisoning in the Prehospital Emergency/FU Yan-hua，LOU Fei.//Medical Innovation of China，2015，12（23）：113-116 　　【Abstract】 Objective：To explore the clinical effect of the emergency treatment for patients with moderate and severe acute organophosphorus pesticide poisoning，and to provide reference for clinical diagnosis and treatment.Method：52 patients with moderate and severe acute organophosphorus pesticide poisoning admitted to our hospital from January 2012 to March 2014 were selected and divided into the control group for 22 cases and the observation group for 30 cases according to different ways of treatment.The control group was directly sent to hospital for treatment by family members，the observation group was given prehospital emergency guidance and prehospital emergency.The treatment of general situation， complications and clinical efficacy between the two groups were compared.Result：After prehospital emergency，the ICU length of hospital stay in the observation group was （49.6±6.4）h，which was significantly shorter than （71.5±6.3）h in the control group，the dosage of Atropine and Pralidoxime Iodide were （191±42）mg and（4.9±3.3）g，which were significantly less than （327±81）mg and（7.6±2.1）g in the control group，the differe