251例口服中毒患者洗胃的临床分析

Clinical Analysis of 251 Orally Poisoned Patients Treated With Gastric Lavage

目的 探讨口服中毒患者反复彻底洗胃的临床意义。方法 无论口服中毒患者在院外是否经过洗胃 ,本科均一律再次洗胃。 50例症状轻者采用口服洗胃 ;1 96例采用电动洗胃机洗胃。洗胃后经胃管注入吉胃乐 ,以保护胃黏膜 ,中和胃酸 ,止血。结果 治愈2 4 8例 (98.8% ) ;死亡 3例 (1 .2 % )。结论 口服中毒患者反复彻底洗胃可有效地阻止毒物的重复吸收 ,提高抢救成功率。

Objective To study the clinical significance of repeated and completed gastric lavage for patients with poisoned orally. Methods No matter these orally poisoned patients were lavaged outside the hospital or not, we usually lavage again. 50 mild illness patients were lavaged orally, and electric gastric lavage was performed in 196 severe patients. Then Phosgel were poured into the stomach through gastric tube in order to protect the gastric mucosa, neutralize gastric acid and staunch bleeding. Results 248 cases were cured, the curative ratio was 99.8%; 3 cases are dead; the death rate was 1.2%. Conclusions Repeated and completed gastric lavage can effectively prevent poison from being absorbed repeatedly and increase the cure rate.