重症急性杀虫双农药中毒的临床特点及救治体会

An experience of the clinical features and treatment on patients with severe acute Bisultap poisoning

目的:探讨重症急性杀虫双农药中毒患者的临床特点及救治。方法:回顾性分析23例重症急性杀虫双农药中毒的临床特点、实验室检查以及综合救治措施。中毒剂量与临床表现的关系以及治疗前后的血常规,血浆尿素氮,肌酐,胆碱酯酶,动脉血气分析,肝功能和心肌酶学等数据被检测收集。结果:23例重症急性杀虫双农药中毒患者抢救成功21例,死亡2例,治愈率为91.3%。结论:重症急性杀虫双农药中毒病情较重,进展较快,具有较高的死亡率,应进行综合个体化治疗。

Objective：To investigate the clinical features and the therapy on patients with severe acute Bisultap insecticides poisoning.Method：Clinical features,laboratory tests,and comprehensive treatment in 23cases with severe acute Bisultap insecticides poisoning,were retrospectively analyzied.Blood urea nitrogen,serum creatinine,cholinesterase,arterial blood gas,liver functions,serum creatine kinase and other parameters pre-and posttreatment were collected for comparison.Result：21（21 /23） cases of severe acute Bisultap insecticides poisoning were rescued successfully,and 2patients were died.The cure rate was 91.3%.Conclusion：Severe acute Bisultap insecticides poisoning is severe,rapid progress,with much higher mortality.A comprehensive individualized treatment protocol should be peformed.