危重型有机磷农药中毒救治体会  

Experience of treating and severe organic phosphorus pesticide poisoning

作　　者：赵传奎 朱守政[2] 

机构地区：[1]安徽省颍上县人民医院,236200 [2]安徽省立医院神经内科,230001

出　　处：《安徽卫生职业技术学院学报》2005年第5期90-90,83,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨重度有机磷农药中毒抢救的有效措施。方法:治疗组95例进行肌注+静滴双途径适量阿托品应用,加氯磷啶应用,防止药物反跳,对有呼吸衰竭者早期应用气管插管。结果:治疗组95例,治愈+基本治愈89例,治愈率93.7%;对照组68例,常规治疗,治愈+基本治愈53例,治愈率77.9%,P<0.05有显著意义。结论:危重型有机磷农药中毒抢救,在常规治疗时适量应用阿托品氯磷啶维持有效呼吸循环,同时有呼吸衰竭者早期应用气管插管能显著降低病死率,加用维生素B族,能明显减少中枢神经系统损害及周围神经的后遗症。Objective To explore efficient methods applied for treating severe organic phosphorus pesticide poisoning. Methods To apply atropine combined with PAM to treat 95 cases. Results 89 cases were cured with a 93.7 cure rate and a 6.3 death rate; while in contrast group only 53 cases were cured with a 77.9 cure rate and a 22.1 death rate（P〈0.05）. Conclusion During the emergency treatment, atropine combined with PAM should be applied; intubation should be used for those failed in respiratory system and vitamin B can help decrease the harm to central nervous system and peripheral nervous system.

关 键 词：重度有机磷农药中毒 救治 气管插管 阿托品 

分 类 号：R139[医药卫生—劳动卫生]