急性有机磷中毒的护理体会

Acute ganophosphorus poison nursing experience

目的：总结急性有机磷农药中毒的抢救体会。结论：急性有机磷农药中毒治疗时，阿托品用量一定要根据毒物类别、中毒途径及中毒程度而定，切忌盲目使用阿托品。有机磷农药是毒性强的化学药物之一，可通过皮肤黏膜、消化道、呼吸道侵入人体，其中毒机制是抑制了胆碱酯酶的活性，造成组织中乙酰胆碱积聚，而产生中毒症状，患者常因即刻症状轻未及时洗胃，使毒物吸收增多，中毒程度加重，服有机磷同时饮酒者，能促进毒物吸收，使中毒病情加重，抢救不及时而死亡。因此必需及时有效地抢救有机磷中毒。

Objective：Summarizes the acute ganophosphorus pesticide poisoning rescue experience. Conclusion：When acute gano- phosphorus pesticide poisoning treatment, the atropine amount used must certainly according to the poison category, the poisoning route and the poisoning capacity decides, prohibits the blind use atropine. The ganophosphorus agricultural chemicals are one of toxic strong chemistry medicines, might through the skin mucous membrane, the digestive tract, the respiratory tract invasion hu- man body, its toxicant mechanism suppress the cholinesterase activeness, created in the organization the aeetylcholin agglomera- tion, but had the symptom of poisoning, because the patient instantly the symptom light prompt gastric lavage, has often not made the poison absorption to increase, the poisoning capacity aggravated, takes the ganophosphorus simultaneously drinking wine, could promote the poison absorption, made the toxicant condition to aggravate, rescues not promptly dies. Therefore essential rescues the ganophosphorus poison effectively promptly.