饭后口服有机磷农药中毒两种洗胃方法效果的比较

The comparison of the effects on two kinds of methods of gastric lavage on oral acute organophosphorus pesticide poisoning after meal.

目的探讨饭后口服急性有机磷农药中毒(acute organic phosphorus poisoning,AOPP)适宜的洗胃方法。方法 42例饭后口服 AOPP患者随机分为两组,观察组22例,对照组20例。观察组立即给予剖腹洗胃,对照组立即给予插管洗胃。结果观察组平均每入阿托品用量600mg,对照组平均每人间托品用量893.6mg,对照组明显高于观察组(P<0.05)。治愈率:观察组86.4％,对照组65％,两组间有显著性差异(P<0.05)。并发症发生率:观察组18.8％,对照组50％,两组间有显著性差异(P<0.05).结论饭后口服AOPP患者剖腹洗有可提高治愈率,减少并发症发生率和死亡率。

Objective To assess the fittest effective method for gastric lavage on oral a curt organophosphorus pesticide poisoning (AOPP) after meal. Methods 42 cases of oral AOPP after meal were randomly divided into two groups: study group (22 cases) and control group (20 cases). The study group accepted the treatment of gastrotomy gastric lavage immediatedly, and the control group accepted the routine gastric lavage immediatedly. Results Mean dose of atropine in the study group was 600mg, and in the control group was 893.6mg. Mean dose of atropine in the control group was remarkabley higher than that in the study group (P<0.05). The cure rate in the study group was 86.4%. and in the control group was 65%. There were significantly differences between them (P<0.05).The incidence of complications was 18.8% in the study group, and was 50% in the control group.It did show significantly difference. Conclusion The method of gastronomy gastric lavage for oral AOPP after meal can increase the cure rate, and decrease the incidence of complications and the mortality.