39例有机磷农药中毒反跳的临床观察与护理

目的总结有机磷农药中毒(OIP)在抢救处理中出现的几种问题,为临床的诊断、治疗、护理观察及降低死亡率提供参考依据。方法分析39例OIP患者在抢救过程出现反跳的原因,包括阿托品使用不当、洗胃时机选择不合理以及诊断失误。结果39例反跳的患者中,37例治愈,死亡2例,治愈率达94.9%。结论抢救OIP患者,阿托品的用量应视个体差异和中毒的程度而异,同时应准确记录阿托品化出现的第一时间;根据农药的种类而选择相应的洗胃液,同时洗胃应彻底;应注意鉴别阿托品过量中毒与农药中毒昏迷。

Objectives To demonstrate a few problems occurring during the course of saving patients who suffered from organic phosphorus pesticide poisoning (OIP), and to provide reference for clinic diagnosis, treatment, nursing and reduction of the death rate. Methods To analyze the reasons why bounce occurred in the 39 patients with OIP, including atropine overdosage, inappropriate gastrolavage time and false diagnosis. Results Out of 39 cases, 37 cases were cured and 2 cases died. The rate of successful salvage reached 94.9%. Conclusions The atropine dosage for treating OIP patients should vary with patients and poisoning level. Gastrolavage liquid should be selected according to the pesticide type. We should distinguish atropine overdosage from coma caused by pesticide poisoning.