CAJ | 학술논문

目的：探讨急性有机磷农药中毒的急救措施和护理要点。方法：对患者进行紧急复苏，迅速清除毒物，给予洗胃、催吐、吸氧，同时给予氯解磷定、阿托品等解毒药及地西泮等抗惊厥药，为患者提供优质服务。结果：130例患者1～3 h达到阿托品化，4～24 h恢复意识，无中间综合征及迟发性多神经病，均痊愈出院。4例死亡。结论：急性有机磷农药中毒起病急、病情重，病情变化迅速、死亡率高。及时、有效的抢救措施和细致的护理是急性有机磷中毒患者抢救成功的关键，可明显提高抢救成功率和治愈率。
목적：탐토급성유궤린농약중독적급구조시화호리요점。방법：대환자진행긴급복소，신속청제독물，급여세위、최토、흡양，동시급여록해린정、아탁품등해독약급지서반등항량궐약，위환자제공우질복무。결과：130례환자1～3 h체도아탁품화，4～24 h회복의식，무중간종합정급지발성다신경병，균전유출원。4례사망。결론：급성유궤린농약중독기병급、병정중，병정변화신속、사망솔고。급시、유효적창구조시화세치적호리시급성유궤린중독환자창구성공적관건，가명현제고창구성공솔화치유솔。
Objective:To explore the emergency treatment and nursing essentials of acute organophosphorus pesticide poisoning. Methods:The patients were given emergency recovery and removed toxins quickly,which was given gastric lavage,vomiting and oxygen,while given the antidote such as pralidoxime chloride,atropine and the anti-seizure medication such as diazepam to provide the patients with the high-quality service.Results:130 cases of patients became atropinization with 1~3 h,regain consciousness with 4~24 h,which had no intermediate syndrome and late-onset polyneuropathy and all were recovered.4 cases were died.Conclusion:Acute organophosphorus pesticide poisoning had acute onset and severe illness,the disease changed quickly and had high mortality.Timely effective rescue measures and careful nursing were the key to salvage the patients with acute organophosphorus pesticide poisoning,which could improve the rescue success rate and cure rate obviously.