预见性气管插管抢救重度有机磷农药中毒合并呼吸不全的研究.docVIP

预见性气管插管抢救重度有机磷农药中毒合并呼吸不全的研究 　　【摘要】 目的：探讨在重度有机磷农药中毒合并呼吸不全患者中实施预见性气管插管的方法及效果。方法：对2011年10月-2013年10月本院抢救的70例重度有机磷农药中毒合并呼吸不全患者进行随机数字表法分组，每组35例，两组均给予常规基础治疗，在此基础上，对照组（非气管插管组）实施血液灌流，观察组实施血液灌流及预见性气管插管，分析并评估两组病例的临床抢救情况。结果：观察组抢救成功率与病死率分别为94.29%、5.71%，明显优于对照组的74.29%、25.71%，两组比较差异有统计学意义（P0.05）。结论：在重度有机磷农药中毒合并呼吸不全患者中实施预见性气管插管进行抢救有确切效果，适合在今后的临床上普及应用。 　　【关键词】 预见性气管插管； 重度有机磷农药中毒； 呼吸不全 　　The Study of Predictive Endotracheal Intubation on the Severe Organophosphorus Pesticide Poisoning and Respiratory Insufficiency/ZENG Wen-jun.//Medical Innovation of China，2014，11（32）：137-139 　　【Abstract】 Objective： To discuss the effect of predictive endotracheal intubation on the patients with severe organophosphorus pesticide poisoning and respiratory insufficiency. Method： From October 2011 to October 2013， 70 patients with severe organophosphorus pesticide poisoning and respiratory insufficiency in our hospital were selected and divided into 2 groups by random number table method. There were 35 cases in each group. Patients in two groups were provided treatment on a regular method， and the blood perfusion were included in the control group （not endotracheal intubation group），imposed predictability in the control group rescue under the condition of tracheal intubation into the observation group， the clinical rescue situation of cases in the two groups was analyzed and evaluated. Result： After treatment， the success rate of rescue and the case fatality rate of the cases in the observation group were 94.29% and 5.71% respectively，compared with 74.29% and 25.71% in the control group， and there was significant difference（P0.05）.Conclusion： The patients with severe organophosphorus pesticide poisoning and respiratory insufficiency treated by predictability endotracheal intubation has exact treatment effect， and is suitable for popularization in future clinical application. 　　【Key words】 Predictive endotracheal intubation； Severe organophosphorus pesticide poisoning； Respiratory insufficiency