急性有机磷农药中毒并发呼吸衰竭病人机械通气的护理

目的 探讨急性有机磷农药中毒(AOPP)并发呼吸衰竭(呼衰)病人机械通气的模式、病情观察和护理。方法结合资料回顾分析24例AOPP呼衰病人的临床护理要点。结果 除2例死亡,1例自动出院外,21例痊愈出院,抢救成功率为87.5％,与我科2000年以前的抢救成功率73.6％相比,差异有显著性(P<0.05)。结论 对AOPP病人应加强病情观察,尤其是ChE<20％者;一旦发生呼衰尽早机械通气是抢救成功的关键;而气道的湿化和温化、及时有效吸痰、气囊管理及感染预防是气道管理中不容忽视的4个方面,对防止肺部感染,提高抢救成功率起到非常重要的作用。

Objective to explore the mode of artificial ventilation. condition observation and nursing in acuteorganophosphorous pesticide poisoning (AOPP) patients with respiratory failure (AF). Methods: The key points in clinicalnursing of the 24 cases of AOPP with AF were analyzed with reference to the relevant academic resources. Results: 21 caseswere cured, with two death and one voluntary discharge, the success was 87.5%. Compared with 73.6% in our section prioro 2000, there was significant difference (P<0.05). Conclusion: Priority should be given to condition observation of theAOPP patients,especially to those whose Che is less than 20%. Once complicateed by AF, it is important to utilize artificialventilation. The vaporization and heating of the respiratory pipe, phlegm pumping, saccus management and anti-infectionmeasures, which play an important role in preventing pneumo-infection and improving the rescuing success rate,are the fourcritical points in respiratory pipe management.