血液灌流抢救40例重度有机磷农药中毒的护理观察

Nursing observation of blood perfusion to treat 40 patients with pevere organophosphorus pesticide poisoning

目的探讨血液灌流(HP)抢救重度有机磷农药中毒患者的护理观察。方法使用单泵和丽珠HA260型血液灌液器对40例重度有磷农药中毒患者在常规治疗的同时进行血液灌流并与既往常规治疗的30例患者进行比较。结果血液灌流组较常规组昏迷时间缩短,住院日缩短,治愈率高,死亡率低。结论血液灌流的时机选择和积极内科综合治疗相结合是抢救重度有机磷农药中毒成功的关键。而严格执行技术操作规程、加强监测、严密观察、防止并发症等是确保血液灌流得以顺利进行的关键措施。

Objective To study the nursing observation of blood perfusion to treat patients with severe organophosphorus pesticide poisoning （SOPP）. Methods ingle pump and Lizhu type HA260 blood perfusion organs uere betaken to treat 40 cases with SOPP under normal treatment. While 30 cases were treated normally. Compared the 40 cases with the 30 cases. Results In the blood perfusion group , coma time shortened , time in hospital shortened, cure rate was high and death rate was low. Conclusion lombining blood perfusion with active medical complex treatment to treat SOPP is key of success. Strictly performing technical procedure, strengthening monitoring, observing rigorously and forbidding complication are pivotal measures to insure blood perfusion roll its hoop.