85例急性有机磷农药中毒救治的临床分析

Clinical analysis of 85 cases with acute treatment of organophosphorus pesticide poisoning

目的:探讨急性有机磷农药中毒的救治经验与体会。方法:对85例有机磷农药中毒患者的治疗过程进行记录,分析治疗效果。结果:85例急性有机磷农药中毒患者,救治成功80例,死亡5例,成功率94%。结论:急性有机磷农药中毒的抢救关键是尽快、彻底、有效反复地洗胃,快速应用抗胆碱药盐酸戊乙奎醚(长托宁)及胆碱酯酶复能剂(氯磷定),积极预防并发症的发生,可提高抢救成功率。

Objective：To investigate the treatment experience of acute organophosphorus pesticide poisoning. Methods：We record the treatment process and analyze the treatment effect of the 85 patients with organophosphate poisoning who were admitted by hospital.Results：In 85 cases of patients with acute pesticide poisoning of organic phosphorus,80 cases were cured,5 deaths,the success rate was 94%.Conclusion：Thorough effective repeated gastric lavage, rapid application of anticholinergics penehyclidine hydrochloride （Changtuoning） and cholinesterase agents （pralidoxime chloride） was the key to rescue the patients who with critical acute organophosphorus pesticide poisoning and we found that active prevention of complications occurrence can improve the success rate.