国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
7期
981-983
,共3页
早期综合治疗%急性胰腺炎%有机磷农药中毒%疗效
早期綜閤治療%急性胰腺炎%有機燐農藥中毒%療效
조기종합치료%급성이선염%유궤린농약중독%료효
Early comprehensive treatment%Acute pancreatitis%Organophosphorus pesticide poisoning%Efficacy
目的 分析早期综合治疗对急性重度有机磷农药中毒并发急性胰腺炎的疗效.方法 回顾性分析我院于2010年1月至2013年1月接收的急性重度有机磷农药中毒并发胰腺炎13例临床资料,13例患者均进行早期综合治疗.结果 11例患者抢救成功,2例患者死亡,死亡率15.4％,死亡原因为:1例患者合并急性重症胰腺炎,呼吸衰竭死亡,1例经全力抢救,合并多器官功能衰竭(mods)死亡,11例患者症状消失时间(12.3±2.1)d,胆碱酶活性恢复正常时间(10.6±2.4)d,2例患者转至外科性胆囊摘除手术.结论 急性有机磷农药中毒合并急性胰腺炎患者病情严重、变化复杂,且二者部分症状相似,临床应重视对急性胰腺炎的诊断并给予早期的综合性治疗.
目的 分析早期綜閤治療對急性重度有機燐農藥中毒併髮急性胰腺炎的療效.方法 迴顧性分析我院于2010年1月至2013年1月接收的急性重度有機燐農藥中毒併髮胰腺炎13例臨床資料,13例患者均進行早期綜閤治療.結果 11例患者搶救成功,2例患者死亡,死亡率15.4％,死亡原因為:1例患者閤併急性重癥胰腺炎,呼吸衰竭死亡,1例經全力搶救,閤併多器官功能衰竭(mods)死亡,11例患者癥狀消失時間(12.3±2.1)d,膽堿酶活性恢複正常時間(10.6±2.4)d,2例患者轉至外科性膽囊摘除手術.結論 急性有機燐農藥中毒閤併急性胰腺炎患者病情嚴重、變化複雜,且二者部分癥狀相似,臨床應重視對急性胰腺炎的診斷併給予早期的綜閤性治療.
목적 분석조기종합치료대급성중도유궤린농약중독병발급성이선염적료효.방법 회고성분석아원우2010년1월지2013년1월접수적급성중도유궤린농약중독병발이선염13례림상자료,13례환자균진행조기종합치료.결과 11례환자창구성공,2례환자사망,사망솔15.4％,사망원인위:1례환자합병급성중증이선염,호흡쇠갈사망,1례경전력창구,합병다기관공능쇠갈(mods)사망,11례환자증상소실시간(12.3±2.1)d,담감매활성회복정상시간(10.6±2.4)d,2례환자전지외과성담낭적제수술.결론 급성유궤린농약중독합병급성이선염환자병정엄중、변화복잡,차이자부분증상상사,림상응중시대급성이선염적진단병급여조기적종합성치료.
Objective To analyze the efficacy of early comprehensive treatment on acute severe organophosphorus pesticide poisoning combined with acute pancreatitis.Methods Retrospective analysis was carried to 13 cases of acute severe organophosphorus pesticides patients from January 2010 to January 2013 in our hospital.Results All patients underwent early comprehensive treatment,11 patients with successful treatment,2 patients died,the mortality rate was 15.4％,1 patient with acute pancreatitis,respiratory failure and death,1 patient with multiple organ failure (mods) death after rescue,symptoms time of 11 patients was (12.3 ± 2.1) d,cholinergic activity returned to normal time was (10.6 ± 2.4) d,2 patients turned to surgery gallbladder with removal surgery.Conclusions Acute organophosphorus pesticide poisoning combined with acute pancreatitis is severe,complicated,complex changes in condition,and there are some similar symptoms in the two kinds of diseases,clinicians should pay attention and give early comprehensive treatment in acute severe organophosphorus pesticide poisoning combined with acute pancreatitis.
