CAJ | 학술논문

【目的】探讨胃管注入解磷啶及甘露醇应用于有机磷农药中毒患者的临床效果。【方法】将60例有机磷农药中毒患者分为观察组32例及对照组28例。对照组给予常规洗胃、阿托品化、解磷啶注射、补液、对症治疗；观察组在上述治疗的基础上，于洗胃管中注入解磷啶（或氯磷啶）及甘露醇，比较两组治疗的临床效果。【结果】观察组阿托品用量、反跳人数明显少于对照组（ P ＜0．01），而达阿托品化时间、住院时间、治愈率、病死率等方面均优于对照组（ P ＜0．05）。【结论】及早于洗胃管中注入解磷啶（或氯磷啶）及甘露醇，可明显提高有机磷农药中毒的抢救成功率。
【목적】탐토위관주입해린정급감로순응용우유궤린농약중독환자적림상효과。【방법】장60례유궤린농약중독환자분위관찰조32례급대조조28례。대조조급여상규세위、아탁품화、해린정주사、보액、대증치료；관찰조재상술치료적기출상，우세위관중주입해린정（혹록린정）급감로순，비교량조치료적림상효과。【결과】관찰조아탁품용량、반도인수명현소우대조조（ P ＜0．01），이체아탁품화시간、주원시간、치유솔、병사솔등방면균우우대조조（ P ＜0．05）。【결론】급조우세위관중주입해린정（혹록린정）급감로순，가명현제고유궤린농약중독적창구성공솔。
[Objective] To explore clinical efficacy of stomach tube injection of pralidoxime iodide and mannitol applied in patients with organophosphorus pesticide poisoning .[Methods]Totally 60 patients with organophosphorus pesticide poisoning were randomly divided into observation group ( n=32) and control group( n =28) .The control group was given routine gastric lavage ,atropine ,pralidoxime iodide injection ,fluid infusion and symptomatic treat-ment .The observation group was given gastric lavage tube injection of pralidoxime iodide (or chlorophos) and manni-tol based on the above treatment .Clinical efficacy was compared between two groups .[Results] Atropine dosage and the frequency of bounce in observation group were obviously less than those in control group ( P<0 .01) ,while atro-pinization time ,hospitalization time ,curative rate and mortality in observation group were better than those in control group( P<0 .05) .[Conclusion]Early gastric lavage tube injection of pralidoxime iodide (or chlorophos ) and mannitol can obviously improve the rescue successful rate of organophosphorus pesticide poisoning .