急性有机磷农药中毒84例的抢救及护理

The rescue and nursing of 84 cases of acute organophosphorus pesticide poisoning

目的:迅速清除毒物,及时使用解毒剂和尽快达到阿托品化以对抗烟碱样症状、毒蕈碱样症状、中枢神经系统症状,减轻对重要器官的损害,提高抢救成功率,防止反跳与猝死的发生。方法:催吐、洗胃、清除毒物,尽早快速使用解毒剂,使其短期达到阿托品化,对症处置。结果:84例有机磷农药中毒患者经及时抢救,精心护理,80例痊愈出院,4例死于呼吸、循环衰竭。结论:有机磷农药中毒抢救的关键是早期及时应用解毒剂,短期达到阿托品化,迅速彻底清除毒物,密切观察病情,采取有效的护理措施,可大大提高抢救成功率。

Objective:In order to fight against nicotine symptoms,muscarinic symptoms,central nervous system symptoms,to alleviate the damage of the vital organs,improve the success rate of rescue,prevent the occurrence of rebound and sudden death by quickly remove poisons,timely use of antidotes and reach atropinization as soon as possible.Methods: The use of emetic,gastric lavage,clean up the poison,early rapid use antidote,make its short-term reach atropinization and symptomatic disposal.Results:84cases of organophosphorus pesticide poisoning patients with timely rescue,careful nursing,80 cases were cured,4 cases died of respiratory and circulatory failure.Conclusion:The key to rescue organophosphorus pesticide poisoning is that the early and timely application of antidote,short-term reach atropinization,quickly and thoroughly remove poison,close observation of disease,take effective nursing measures,which can greatly improve the success rate of rescue.