急性海洛因中毒院前诊治研究

Study of prehospital diagnosis and treatment to patients with acute heroin poisoning

目的探讨急性海洛因中毒的院前诊断与治疗方法。方法通过重庆市急救中心院前急救部2004年2月至2008年8月155例急性海洛因中毒患者的院前诊断与治疗的分析,总结其临床表现及院前诊断与治疗经验。结果在155例急性海洛因中毒中,28例神志恢复,答语切题,留家。93例呼吸好转,神志恍惚,转至就近综合医院继续治疗。28例未经治疗即已院前死亡。6例虽经治疗,但未用纳络酮,也死亡。经用纳络酮全部病例无1例院前死亡。结论迅速到位、快速诊断、及时应用纳络酮是抢救急性海洛因中毒成功的关键。

Objective To discuss the prehospital diagnosis and treatment to the patients with acute heroin poisoning. Methods To summarize both the patients＇ clinical manifestation, and the medical staff＇s expience of prehospital diagnosis and treatment through analysis of prehospital diagnosis and treatment of 155 patients with acute heroin poisoning in the department of prehospital care of Chongqing Emergency Medical Center from Febrary 2004 to August 2008. Results Of the 155 patients with acute heroin poisoning, 28 patients after treated with naloxone resumed consciousness and could give proper answers to questions,then stayed at the scene,93 patients with the treatment of naloxone got better in dyspnea,but with vague consciousness,then were sent to nearby comprehensive hospital to get further treatment,28 patients were dead before any treatment. Six patients died as well after treated with medicine other than naloxone. None of the patients treated with naloxone died at the scene. Conclusion It is critical to rescue the patients with acute heroin poisoning sucessfully,for the emergency medical staff to rapidly arrive at the scene,and then promptly carry out diagnosis and give naloxone in time.