机械通气在急性重度有机磷农药中毒致呼吸衰竭中的应用

Application of mechanical ventilation in respiratory failure caused by acute severe organophosphorus pesticide poisoning

目的探讨急性重度有机磷农药中毒合并呼吸衰竭时机械通气在救治中的作用。方法收集25例急性重度有机磷农药中毒并发呼吸衰竭患者的临床资料。在常规方法治疗的基础上,均加用机械通气救治,并对其效果进行回顾性分析。结果 25例急性重度有机磷农药中毒并发呼吸衰竭的患者经过机械通气及综合治疗后,成功22例,死亡3例,成功率为88%。结论在抢救急性重度有机磷农药中毒并发呼吸衰竭时,及时采用机械通气是救治成功的关键。

Objective To investigate the effect of mechanical ventilation in the treatment of acute severe organophosphorus pesticide poisoning combined with respiratory failure. Methods the clinical data of 25 patients with acute severe organophospho- rus pesticide poisoning complicated with respiratory failure were collected. On the basis of routine treatment, were treated with mechanical ventilation, and the result were analyzed retrospectively. Results the patients with respiratory failure in 25 cases of acute severe organophosphorus pesticide poisoning patients after mechanical ventilation and comprehensive treatment, 22 cases were successful, 3 cases of death, the success rate is 88%. Conclusion poisoning complicated with respiratory failure in the treatment of acute severe organophosphorus pesticide, timely use of mechanical ventilation treatment is the key to success.