气管导管引导下插胃管洗胃在急性重度有机磷农药中毒急救中的应用价值

Value of gastric tube of lavage guided by endotracheal tube in first-aid of acute severe organophosphate poisoning

目的探讨在急性重度有机磷农药中毒患者中采用气管导管引导下插胃管洗胃急救的临床效果。方法选取广东省怀集县人民医院2012年3月至2015年3月收治的急性重度有机磷农药中毒急救患者40例作为研究对象,对其临床资料进行回顾性分析。按照急救方式分为对照组和观察组,均先行气管插管术,对照组20例采用常规方法插胃管洗胃,观察组20例采用气管导管引导下插胃管洗胃方法。对比两组急救成功率和插管时间。结果观察组1次插管成功率为95%,插管总成功率为100%,明显高于对照组的30%与55%,差异有统计学意义(P<0.05)。对照组插管时间为(245.3±29.4)s,明显长于观察组的(95.8±16.4)s,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中采用气管导管引导下插胃管洗胃急救插管一次成功率高,且插管时间短,减轻患者痛苦,有推广价值。

Objective To investigate the clinical effects of gastric tube of lavage guided by endotracheal tube in treatment of acute severe organophosphate poisoning( ASOPP). Methods A retrospective study was performed to analyze clinical data of 40 patients with ASOPP treated from March 2012 to March 2015 in our hospital. According to the rescue procedures,40 patients were divided into control group and observation group and all the patients underwent endotracheal intubation first. The patients in the control group( 20 cases) were subjected to normal gastric lavage and those in the observation group( 20 cases) were treated with gastric tube lavage guided by endotracheal tube. The success rate of emergency and the intubation time were compared between two groups. Results In observation group,the success rate of once intubation was 95% and total success rate of intubation was 100%,which was significantly higher than 30% and 55% respectively in the control group( P < 0. 05). The time for intubation was( 245. 3 ±29. 4) s in the control group,significantly longer than( 95. 8 ± 16. 4) s in the observation group( P <0. 05). Conclusion For the patients with ASOPP, the gastric tube lavage under guidance of the endotracheal tube has a high success rate of one-time intubation,short intubation time and pain relief of the patients.