国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2009年
23期
22-24
,共3页
钩吻中毒%气管插管
鉤吻中毒%氣管插管
구문중독%기관삽관
Gelsemism%Tracheal intubation
目的 探讨钩吻中毒的急救方法.方法 在急诊中应用预防性气管插管抢救钩吻中毒患者20例.立即给予呼吸、心电、血氧饱和度等监护.均予预防性气管插管,连接呼吸机机械通气治疗,通气模式SIMV,呼吸频率16～18次/min,潮气量6～8 ml/kg,3例肺水肿者加用PEEP5～10cmH2O.在稳定呼吸循环的同时,14例给予清水洗胃20%甘露醇导泻,6例仅予20%甘露醇导泻.结果 本组经1～3周治疗.治愈出院18例,死亡2例.治愈者均顺利脱机,机械通气时间(4.6±2.2)d.2例死亡患者食物残渣显色反应均为强阳性,直接死亡原因均为呼吸衰竭.结论 预防性气管插管是抢救钩吻中毒的首要措施.
目的 探討鉤吻中毒的急救方法.方法 在急診中應用預防性氣管插管搶救鉤吻中毒患者20例.立即給予呼吸、心電、血氧飽和度等鑑護.均予預防性氣管插管,連接呼吸機機械通氣治療,通氣模式SIMV,呼吸頻率16～18次/min,潮氣量6～8 ml/kg,3例肺水腫者加用PEEP5～10cmH2O.在穩定呼吸循環的同時,14例給予清水洗胃20%甘露醇導瀉,6例僅予20%甘露醇導瀉.結果 本組經1～3週治療.治愈齣院18例,死亡2例.治愈者均順利脫機,機械通氣時間(4.6±2.2)d.2例死亡患者食物殘渣顯色反應均為彊暘性,直接死亡原因均為呼吸衰竭.結論 預防性氣管插管是搶救鉤吻中毒的首要措施.
목적 탐토구문중독적급구방법.방법 재급진중응용예방성기관삽관창구구문중독환자20례.립즉급여호흡、심전、혈양포화도등감호.균여예방성기관삽관,련접호흡궤궤계통기치료,통기모식SIMV,호흡빈솔16～18차/min,조기량6～8 ml/kg,3례폐수종자가용PEEP5～10cmH2O.재은정호흡순배적동시,14례급여청수세위20%감로순도사,6례부여20%감로순도사.결과 본조경1～3주치료.치유출원18례,사망2례.치유자균순리탈궤,궤계통기시간(4.6±2.2)d.2례사망환자식물잔사현색반응균위강양성,직접사망원인균위호흡쇠갈.결론 예방성기관삽관시창구구문중독적수요조시.
Objective To investigate the first-aid methods for patients with gelsemism.Methods The application of preventive tracheal intubation were given in the emergency rescue in 20 cases patients with gelsemism.Then gived the mechanical ventilation with the SIMV mode.the breathing rate were 16-18 times/min,and the tidal volume was 6-8ml/kg.3 cases of pulmonary edema were added PEEP 5-10cm H20. On the basis of stable respiratory cycle, 14 cases were given gastric lavaged with water and catharsised by giving 20% mannitol,6 cases were catharsised by giving 20% mannitol only.Results 18 cases were cured (18/20) and 2 cases were dead(2/20) after the treatment for 1-3 weeks.The cured one were all smoothly off-line,and the mechanical ventilation time were for 1.5-8.3(4.6 ± 2.2)d.And the direct cause of death were respiratory failure. Conclusions Preventive tracheal intubation is the primary rescue measures for the gelsemism.
