中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
7期
152-152,154
,共2页
有机磷农药中毒%抢救%护理
有機燐農藥中毒%搶救%護理
유궤린농약중독%창구%호리
Organophosphorus pesticide poisoning%Rescue%Nursing
目的：迅速清除毒物，及时使用解毒剂和尽快达到阿托品化以对抗烟碱样症状、毒蕈碱样症状、中枢神经系统症状，减轻对重要器官的损害，提高抢救成功率，防止反跳与猝死的发生。方法：催吐、洗胃、清除毒物，尽早快速使用解毒剂，使其短期达到阿托品化，对症处置。结果：84例有机磷农药中毒患者经及时抢救，精心护理，80例痊愈出院，4例死于呼吸、循环衰竭。结论：有机磷农药中毒抢救的关键是早期及时应用解毒剂，短期达到阿托品化，迅速彻底清除毒物，密切观察病情，采取有效的护理措施，可大大提高抢救成功率。
目的：迅速清除毒物，及時使用解毒劑和儘快達到阿託品化以對抗煙堿樣癥狀、毒蕈堿樣癥狀、中樞神經繫統癥狀，減輕對重要器官的損害，提高搶救成功率，防止反跳與猝死的髮生。方法：催吐、洗胃、清除毒物，儘早快速使用解毒劑，使其短期達到阿託品化，對癥處置。結果：84例有機燐農藥中毒患者經及時搶救，精心護理，80例痊愈齣院，4例死于呼吸、循環衰竭。結論：有機燐農藥中毒搶救的關鍵是早期及時應用解毒劑，短期達到阿託品化，迅速徹底清除毒物，密切觀察病情，採取有效的護理措施，可大大提高搶救成功率。
목적：신속청제독물，급시사용해독제화진쾌체도아탁품화이대항연감양증상、독심감양증상、중추신경계통증상，감경대중요기관적손해，제고창구성공솔，방지반도여졸사적발생。방법：최토、세위、청제독물，진조쾌속사용해독제，사기단기체도아탁품화，대증처치。결과：84례유궤린농약중독환자경급시창구，정심호리，80례전유출원，4례사우호흡、순배쇠갈。결론：유궤린농약중독창구적관건시조기급시응용해독제，단기체도아탁품화，신속철저청제독물，밀절관찰병정，채취유효적호리조시，가대대제고창구성공솔。
Objective:In order to fight against nicotine symptoms,muscarinic symptoms,central nervous system symptoms,to alleviate the damage of the vital organs,improve the success rate of rescue,prevent the occurrence of rebound and sudden death by quickly remove poisons,timely use of antidotes and reach atropinization as soon as possible.Methods: The use of emetic,gastric lavage,clean up the poison,early rapid use antidote,make its short-term reach atropinization and symptomatic disposal.Results:84 cases of organophosphorus pesticide poisoning patients with timely rescue,careful nursing,80 cases were cured,4 cases died of respiratory and circulatory failure.Conclusion:The key to rescue organophosphorus pesticide poisoning is that the early and timely application of antidote,short-term reach atropinization,quickly and thoroughly remove poison,close observation of disease,take effective nursing measures,which can greatly improve the success rate of rescue.
