呼吸机在重度有机磷农药中毒中的临床应用

Clinical Application of Ventilator in Severe Organophosphorus Pesticide Poisoning

目的:本文主要介绍救治重度有机磷农药中毒致呼吸衰竭的体会。方法对我院2012年2月~2013年2月共56例急性重度有机磷农药中毒(AOPP)致呼吸衰竭患者,应用机械通气及临床综合治疗。结果抢救成功53例,因抢救无效等原因致死亡3例,抢救成功率为:94.6%。结论重度有机磷农药中毒呼吸衰竭患者,应及时、准确的建立人工气道并正确使用呼吸机辅助通气,保证足够的氧供,监测好患者生命体征及氧饱和度,合理应用阿托品,戊已奎醚,解磷定,血液净化等综合治疗措施,才能有效提高抢救成功率。

Objective The purpose of this paper is to introduce the experience of treatment of severe organophosphorus pesticide poisoning with respiratory failure.Methods In our hospital from 2012 February^2013 year in February a total of 56 cases of acute severe organophosphorus pesticide poisoning(AOPP)patients with respiratory failure,and clinical comprehensive treatment of mechanical ventilation.Results 53 cases were rescued successfully,due to the reasons for the rescue is invalid die in 3 cases,successful rescue rate:94.6%.Conclusion In patients with respiratory failure in acute severe organophosphorus pesticide poisoning,should be timely,accurate establishment of artificial airway and mechanical ventilation,to ensure adequate oxygen supply,monitor patient vital signs and oxygen saturation,the reasonable application of atropine,penehyclidine,pralidoxime,and other comprehensive treatment measures to purify the blood,can effectively enhance the rescue the success rate.