急性有机磷农药中毒30例临床分析

Clinical analysis of acute organophosphate poisoning in 30 cases

目的探讨急性有机磷农药中毒(AOPP)的临床表现及治疗方案。方法观察30例AOPP患者的临床表现,给予相应的治疗措施,分析其转归及预后。结果本组共治愈出院27例,平均住院7 d;3例心搏、呼吸停止,经胸外按压、呼吸机辅助通气后心搏恢复,但终因脑复苏不成功死亡。结论有机磷农药中毒病势凶险,发展快,彻底、反复洗胃,及早应用抗胆碱能药阿托品的同时早期应用胆碱酯酶复能剂是抢救成功的关键。

Objective To investigate the clinical features and treatment of acute organophosphate poisoning.Methods The clinical manifestations in 30 patients with AOPP were observed.Giving the expectant treatment,and then prognosis of the patients were analyzed.Results 27patients were healing well,the average days in hospital were 7days.3 cases suffered from cardiorespiratory arrest,after cardiopulmonary resuscitation their hearts beaten.But the 3 patients died because of brain death.Conclusion AOPP is dangerous.Patients underwent Gastric lavage again and again,and treatment of cholinesterase reactivator and atropine as early as possible are key points of successful rescuing.