早期机械通气抢救重度有机磷中毒的护理体会

Nursing on acute organophosphate poisoning patients＇ early mechanical ventilation rescue

目的探讨早期机械通气抢救重度有机磷农药中毒（AOPP）患者的护理措施。方法在及时彻底洗胃，早期足量使用特效解毒药，尽快达到阿托品化的同时，早期机械通气，加强病情观察及护理。结果32例重度有机磷中毒患者，经机械通气抢救成功26例，死亡6例，成功率81％，机械通气前后血气分析比较有显著性差异（P〈0．05）。结论重度有机磷农药中毒患者在系统的急诊治疗时，早期应用机械通气，加强病情观察及良好护理是抢救成功的关键。

Objective To discuss the experience of nursing on acute organophosphate poisoning patients＇ early mechanical ventilation rescue. Method Timely and thoroughly gastric lavage, early and full dosage use specific antidote and quickly achieved atropinization, early put to use mechanical ventilation, and strengthen observation and nursing. Result The data of blood gas analysis were obviously different in 32 patients before and after mechanical ventilation （P〈 0.05）. Twenty-six patients were rescue successfully, and 6 patients were died. Success rate reached 81%. Conclusion Beside the systemic rescue, putting to use mechanical ventilation early and strengthening observation and nursing is the key to the success of acute organophosphate poisoning patients＇ rescue.