有机磷农药中毒导泻剂的应用观察

RESEARCH ON THE USE OF CATHARTICS IN OPP

目的探讨有机磷农药中毒患者采用适宜导泻剂和应用导泻剂的重要性。方法90例有机磷农药中毒患者洗胃后随机分成三组,A组是洗胃后未向胃内注入任何导泻剂。B、C组洗胃后分别注入250ml硫酸镁和甘露醇导泻。观察对有机磷农药中毒病情的影响。结果应用导泻剂对患者的病情及转归有显著影响。甘露醇导泻优于硫酸镁。结论有机磷农药中毒患者宜选择甘露醇导泻,导泻作用快,对病情影响小,能提高有机磷中毒患者抢救的成功率。

Objective To probe into the proper application and necessity of cathartics for patients with organophosphorous pesticide poisoning （OPP）. Methods A total of 90 cases OPP patients, who had been carried out gastric lavage, were at random divided into 3 groups. The patients in group A were not injected any cathartics into stomach after gastric lavage. The pat/ents in group B and C were respectively injected 250 ml magnesium sulphate and mannitol into stomach after gastric lavage and the influences on OPP patients＇ conditions were observed. Results The use of cathartics had significant influence on the condition and transform of OPP patients. The mannitol was better than magnesium sulphate. Conclusion The OPP patients shall use mannitol for purgation, by which the effect is better, side effect is small and also could boost the successful rate of rescuing for OPP patients.