应用“四早方案”提高成批化学中毒的救治水平

APPLICATION OF "FOUR-EARLY PRINCIPLES" TO RISE THE SUCCESSFUL RATE IN MASS CHEMICAL POISON CASUALTIES

目的 探讨“四早”救治方案在成批化学中毒救治过程中的可行性。方法 对１４年内８批病人实施“四早”救治方案，即早期现场处理，早期使用糖皮质激素，早期气道湿化，保持呼吸道畅通，对重度吸入中毒病人坚持早期气管切开。结果 成批化学中毒病人应用“四早”救治方案后显著提高了救治成功率，减少并发症。结论 对成批化学中毒病人实施“四早”救治方案是有效的、可行的。

Objective To evaluate the feasibility and result of 'four-early principles' in the treatment of mass chemical poisoning casualties. Methods During the last 14 years, 8 groups of chemical poisoning patients were admitted and the following four principles were implemented: initial treatment, early used glucocorticoid, to assist air passage humidification and early tracheostomy for severe inhalation injury. Results The successful rate of treatment was raised, and the incidence of complications were decreased. Conclusion Application of 'four-early principles' on the treatment poisoning casualties is effective and feasible.