急性有机磷中毒中间综合征人工气道机械通气的建立与护理

Mechanic ventilation through artificial air cannel and its use in treatment of intermediate syndrom(IMS)after acute organic phosphorate toxication

目的 :总结机械通气治疗急性有机磷中毒中间综合征 (IMS)时人工气道的护理经验。方法 :回顾分析IMS人工气道机械通气 2 1例的临床资料。结果 :IMS发生于急性重度有机磷中毒后 11～ 10 7h ,发生率为 5 6 6 %。临床主要表现为屈颈肌、肢体近端肌、部分颅神经支配肌和呼吸肌无力以至麻痹。发生IMS立即气管插管行机械通气 ,通气时间 2～ 16d ,治愈患者平均住院 10d。结论 :IMS应重点加强人工气道的护理 ,及时建立人工气道行机械通气是抢救成功的关键 。

Objective:To conclude nursing experiences about treatment of IMS after acute organic phosphorate toxication by mechauic ventilation through artifical air cannel.Method:21 cases and their clinical data had been retrospectively analyzed.Result:IMS occurs 11～107 hrs after acute organic phosphorate toxication, incidence ratio is 5.66%,its clinical characterics is paralysis of neck flexus muscle,extremities musiles,respiratory muscles,cranial nerves controlled muscle immediately mechanic ventilation through trachea intubation had been provided.Ventilation time 2～16 days,10 days later,cured patients had been discharged.Conclusion:Nursing about artificial air cannel timely artificial ventilation can promise rescuing success.