呼吸机在急诊早期急性重症有机磷农药中毒致呼吸衰竭中的应用效果

Application effect of ventilator on respiratory failure caused by acute severe organophosphorus pesticide poisoning in early emergency

目的:探讨呼吸机在急诊早期急性重症有机磷农药中毒致呼吸衰竭中的应用效果。方法:2017年1月-2018年12月收治早期急性重症有机磷农药中毒致呼吸衰竭患者60例,随机分为两组,各30例。对照组采取常规急救方法;观察组在常规急救方法基础上联合使用呼吸机抢救。比较两组治疗后生命体征及恢复指标水平。结果:观察组治疗后血压、心率、血氧分压均高于对照组,二氧化碳分压低于对照组,差异均有统计学意义(P<0.05)。观察组意识清醒、自主呼吸及住院时间均短于较对照组,差异有统计学意义(P<0.05)。结论:急诊早期急性重症有机磷农药中毒致呼吸衰竭患者在常规急救基础上联合使用呼吸机抢救疗效显著,利于患者预后,有效保障生命安全。

Objective:To investigate the effect of ventilator on respiratory failure caused by acute severe organophosphorus pesticide poisoning in early emergency.Methods:From January 2017 to December 2018,60 patients with respiratory failure caused by early acute severe organophosphorus pesticide poisoning were enrolled,and they were randomly divided into two groups with 30 cases each.The control group was treated with routine first aid,while the observation group was treated with ventilator on the basis of routine first aid.The vital signs and recovery index levels between the two groups after treatment were compared.Results:After treatment,the blood pressure,heart rate and partial pressure of blood oxygen in the observation group were higher than in the control group and the partial pressure of carbon dioxide was lower than in the control group,and the differences were statistically significant(P<0.05).The awake time,spontaneous breathing time and length of stay in the observation group were shorter than the control group,and the differences were statistically significant(P<0.05).Conclusion:The combined use of ventilator and conventional first aid for patients with respiratory failure caused by acute severe organophosphorus pesticide poisoning in the early stage of emergency is significant,and it is beneficial to the prognosis of patients and effectively ensures the safety of life.