探讨急性重度有机磷农药中毒致呼吸衰竭患者的临床急诊急救措施

Discussion on the Emergency Treatment for Patients with Respiratory Failure by Acute Severe Organophosphorus Pesticide Poisoning

目的分析在急性重度有机磷农药重度导致呼吸衰竭患者的临床急救当中,全面、系统的急诊急救措施应用效果。方法选择该院在2016年3月—2017年7月时间段内收治的26例急性重度有机磷农药中毒患者为此次研究对象,所有患者均出现明显的呼吸衰竭情况,根据其急救方式的不同将其均分成为常规组与全面组,常规组患者接受临床常规性质急救处理,全面组患者则需要在上述基础上同时接受呼吸机治疗,对比两组患者的不良情况、血气分析指标与其它临床指标。结果全面组患者的不良情况仅为1例,PaO_2指标为(89.1±1.8)mmHg,PaCO_2指标为(66.9±2.1)mmHg,相关情况优于常规组,两组患者的相关数据在接受组间对比后差异有统计学意义(P<0.05)。结论在急性重度有机磷农药中毒患者的临床急救当中,给予患者较为全面的急救措施效果较好,该方案值得在临床当中推广。

Objective This paper tries to analyze the effect of comprehensive and systematic emergency first-aid measures in the clinical emergency treatment of severe acute organophosphorus pesticide-induced respiratory failure patients. Methods 26 patients with acute severe organophosphorus pesticide poisoning who were admitted to this hospital from March 2016 to July 2017 were selected as the subject of this study. All patients experienced significant respiratory failure, according to their emergency methods. The patients were divided into the routine group and the comprehensive group. The patients in the conventional group received the first-aid treatment in the clinical routine. The patients in the comprehensive group needed to be treated with the ventilator at the same time. The adverse conditions, blood gas analysis indexes, and other clinical indicators of the two groups of patients were compared. Results Only one case was found in patients in the overall group, PaO2 index was（89.1±1.8）mm Hg, and PaCO2 index was（66.9±2.1）mm Hg. The correlation was better than that of the conventional group. There was a significant difference between the two groups after comparing the relevant data（P〈0.05）. Conclusion In the clinical first aid of patients with acute severe organophosphorus pesticide poisoning, giving patients more comprehensive first aid measures is better, and this program is worthy of promotion in clinical practice.