急性有机磷杀虫药中毒阿托品的应用

Application of atropine in acute organophosphorus insecticide poisoning

目前在我国,尤其在中小型城市基层医院中,急性有机磷杀虫药中毒是急诊中毒中最常见的急危重症,在急性有机磷杀虫药中毒救治过程中,阿托品起着关键作用,而且阿托品的科学化应用可提高救治成功率,是患者抢救的关键因素。本研究首先概述有机磷杀虫药中毒,然后重点阐述了阿托品用量、阿托品的给药方式、阿托品化及阿托品中毒的鉴别,并在此基础上阐述了有机磷杀虫药中毒患者的一般护理及心理护理。阿托品的用法、剂量以及维持患者持续阿托品化是增加急性有机磷杀虫药中毒患者存活率的关键,而有效的护理干预及心理疏导,有利于患者病情的好转,并且唤起患者的求生欲望,帮助患者早日痊愈。

At present,acute organophosphorus insecticide poisoning is the most common acute poisoning in emergency poisoning,especially in primary hospital of small and medium-sized cities.Atropine plays a key role during treatment of acute organophosphorus insecticide poisoning,and the scientific application of atropine can improve the success rate of treatment.It is the key factor in patients rescue.This study firstly gives an overview of organophosphorus insecticide poisoning,and then focuses on the dosage of atropine and atropine administration,atropinization and atropine poisoning identification,and on this basis,the general care and psychological care of organophosphorus pesticide poisoning patients were expounded.The use of atropine,dosage and the maintenance of sustained atropinization in patients are the key to increasing the survival rate of patients with acute organophosphorus insecticide poisoning.Effective nursing intervention and psychological counseling are conducive to the improvement of the patient＇s condition,and arouse their desire to survive,and help patients recover sooner.