有创与无创贯串通气治疗急性有机磷农药中毒致呼吸停止的护理

Nursing care of respiratory arrest caused by acute organophosphorus pesticides poisoning treated by invasive ventilation or noninvasive ventilation

目的:探讨降低重度有机磷农药中毒导致呼吸停止的死亡率。方法:采取有创与无创贯串通气治疗的方法,提出与治疗相应有效的护理措施,采取清除毒物、急救物品的准备、密切观察病情、人工气道的护理、无创通气的护理、心理护理等护理措施。结果:患者痊愈出院,住院期间有创通气治疗44 h,无创通气治疗6 d,未发生其他并发症。结论:有创与无创贯串通气治疗重度有机磷农药中毒,提出与治疗相应有效的护理措施,可降低死亡率。

Objective To discuss how to decrease the mortality rate of respiratory arrest caused by acute organophosphorus pesticides poisoning（AOPP）.Method In the study,invasive and noninvasive ventilation were performed in the patients with AOPP.Nursing intervention was put forward,such as eliminating poison,preparing first aid materials,observing closely state of illial airway,nursing of noninvasive ventilation and mental nursing.Overall and effective nursing intervention was performed in the patients at the different states of illness.Results All the patients recovered without complications.Conclusion It can decrease the mortality rate by taking appropriate and effective nursing intervention when using invasive and non-invasive ventilation to treat severe organophosphorus pesticide poisoning.