有机磷农药急性中毒呼吸衰竭32例分析

目的:探讨治疗有机磷农药急性中毒呼吸衰竭的临床疗效及经验。方法:选择近5年来收治的32例急性有机磷农药中毒(AOPP)所致呼吸衰竭患者进行总结分析。结果:机械通气时间3～12天,平均6.5天。住院时间18～52天,平均28.3天。死亡4例,抢救成功率80%。结论:气管插管呼吸机辅助呼吸可以提高临床疗效,加强对其生命体征的监测,及时处理各种并发症,以确保AOPP呼吸衰竭患者顺利度过危险期,为其脱机及最后康复创造条件。

Objective： to study the acute re- spiratory failure of organophosphorus pesti- cide poisoning the clinical efficacy of treatment and experience. Methods： Choose our nearly five years of 32 cases were caused by failure patients AOPP called the analysis. Results ： Mechanical ventilation time of three to 12 d, an average of 6.5 d. The length of time the 18 -52 d,an average of 28.3 d. Death 4 cases,the effective rate was 80%. Conclusion： Tracheal intubation breathing machine help to breathe can improve the clinical curative effect, strengthen the monitoring of vital signs, timely handling of complications, to ensure that AOPP call failure patients can live the crisis,as its offline and finally rehabilitation create conditions.