呼吸机在铁灭克中毒中的应用

Application of ventilator in patients poisoned with Tmiek

目的探讨呼吸机在铁灭克中毒抢救治疗中的重要性。方法将78例铁灭克中毒按使用呼吸机的时间前后分为两组,第一组36例,第二组42例,两组均按常规治疗,包括:洗胃、导泻、阿托品化等治疗。第二组加用呼吸机抢救。结果第一组6例痊愈,30例死亡。第二组42例全部存活,于中毒48小时后顺利撤用呼吸机。结论早期建立人工气道及机械通气是抢救铁灭克急性中毒的重要措施。

Objective To evaluate the clinical effect of ventilator for patients poisoned with Timek. Methods 78 patients poisoned with Timek were divided into two groups, including Group ventilator used （n= 42） and Group ventilator unused （n= 36）. Patients in Group ventilator used and Group ventilator unused were treated with same routine methods, except with and without ventilator, respectively. The mortality and recovery rate were observed. Results 30 patients （83.33%） died in Group ventilator unused and no patient died in Group ventilator used. Conclusion Application of ventilator is an effective method to treat patients poisoned with Timek.