68例阿片类毒品中毒患者的急诊治疗体会

：目的：探讨阿片类毒品中毒患者的临床诊治方法,提高临床诊治水平.方法：回顾性分析我院自2006年1月~2009年12月收治的68例阿片类毒品中毒患者的临床资料,总结诊断及治疗方法.结果：本组68例患者经以上方法抢救后,3例抢救无效死亡,65例抢救成功,成功率为95.6%;3例死亡病例均死于呼吸衰竭;65例抢救成功患者均在15～60min内苏醒,平均35.8min;纳洛酮及阿托品使用过程中无不良反应出现.结论：阿片类毒品中毒患者临床表现特殊,临床诊断并不困难,在明确诊断的基础上及时给予呼吸维持、应用解毒剂及对症治疗是提高临床治愈率的关键.

Objective：To investigate the opioid drugs of clinical diagnosis and treatment of poisoning patients to improve clinical diagnosis and therapy. Methods： A retrospective analysis of our hospital from January 2006 - December 2009 68 patients were admitted poisoning patients opioid drugs of clinical information, review the diagnosis and treatment. Results： 68 patients were rescued by the above method, the 3 patients died, 65 patients suc- cessfully rescued, the success rate was 95.6%; 3 patients died of respiratory failure and death cases; 65 cases of patients were successfully rescued in 15min - 60min the awakening, the average 35.8rain; naloxone and atropine no adverse reactions during use appear. Conclusion： The opioid class of drugs poisoning clinical performance of special clinical diagnosis, based on a definite diagnosis is given breathing time to maintain the application detoxification agent and symptomatic treatment is the key to improve the clinical cure rate.