CAJ | 학술논문

目的探讨不同时机微量泵维持阿托品治疗重度有机磷农药中毒疗效.方法将收治的52例急性有机磷农药中毒重度患者随机分为观察组和对照组各26例,观察组采用先间歇静脉推注阿托品,达阿托品化后再用微量泵泵入阿托品,对照组采用持续微量泵持续泵入阿托品,比较分析两组疗效.结果观察组胆碱酯酶活力好转所需时间、血糖浓度水平稳定所需时间短于对照组(P<0.05),病情治愈率高于对照组(P<0.05).结论先间歇静脉推注阿托品达阿托品化后再用微量泵泵入阿托品方式可以较早改善有机磷农药重度中毒的实验室指标,提高治愈率.
목적탐토불동시궤미량빙유지아탁품치료중도유궤린농약중독료효.방법장수치적52례급성유궤린농약중독중도환자수궤분위관찰조화대조조각26례,관찰조채용선간헐정맥추주아탁품,체아탁품화후재용미량빙빙입아탁품,대조조채용지속미량빙지속빙입아탁품,비교분석량조료효.결과관찰조담감지매활력호전소수시간、혈당농도수평은정소수시간단우대조조(P<0.05),병정치유솔고우대조조(P<0.05).결론선간헐정맥추주아탁품체아탁품화후재용미량빙빙입아탁품방식가이교조개선유궤린농약중도중독적실험실지표,제고치유솔.
Objective Study on the effection of atropine injection by micropump in different time in acute organophosphorus pesticide severe poisoning treatment. Methods Fifty-two patients of acute organophosphorus pesticide severe poisoning were divided randomly into the study and control groups. First atropine was intermittenttly injected in the study group, then atropine was continuously injected by micropump after the time of atropinizatio. while atropine was continuously injected by micropump in the control group. study on the clinical effect of the two groups. Results the time of better cholinesterase and stable blood glucose levels in the study group were lower than those of the control group (P<0.05). The rate of disease cure was higher than the control group (P<0.05). Conclusion The mode that the time of atropinizatio was continuously injected by micropump can early improve the laboratory parameters of the acute organophosphorus pesticide severe poisoning and can increase the rate of disease cure.