药用炭胃肠灌洗在口服有机磷农药中毒抢救中的应用  

Application of Medicinal Charcoal Gastroenteric Irrigation for Oral Organophosphorus Pesticide Poisoning

作　　者：陆婷[1] 黄美兰[1] 

机构地区：[1]中国人民解放军第451医院,陕西省西安市710054

出　　处：《职业与健康》2009年第12期1331-1332,共2页Occupation and Health

摘　　要：目的探讨药用炭胃肠灌洗在抢救口服急性有机磷农药中毒(AOPP)的效果。方法将45例AOPP患者随机分成2组,实验组(23例)采用传统方案加药用炭胃肠灌洗,常规组(22例)采用传统方案抢救。测定2组患者阿托品用量,并进行比较。结果实验组阿托品用药总量为(1515.92±683.51)mg,对照组为(2024.76±1407.18)mg,(P<0.01)。达阿托品化时间分别为(9.16±5.70)和(13.52±7.51)h,(P<0.05);住院日数分别为(10.14±3.03)和(14.73±5.62)d,(P<0.01)。结论药用炭胃肠灌洗救治AOPP,可明显减少阿托品用药总量,降低死亡率,显著缩短患者住院日数。[ Objective ] To study the effect of medicinal charcoal gastroenterie irrigation on the oral acute organophosphorus pesticide poisoning（ AOPP）. [ Methods]A total of 45 cases of AOPP patients were divided into 2 groups randomly. 23 cases of experimental group were treated with both traditional method and medicinal charcoal irrigation, 22 eases of general group were treated with traditional method. The atropine was measured and compared between 2 groups. [ Results ] The total atropine amount of experimental group was （ 1515.92 ± 683.51 ） rag, that of control group was 12024.76 ± 1407.18 ） mg, （ P 〈 0.01 ）. The time interval to achieve atropinization from admission was 1 9. 16 ± 5. 70 ） hours and （ 13. 52 ± 7. 51 ） hours, （ P 〈 0. 05 ） ; hospitalization days were （ 10. 14 ±3.03） days and（ 14.73 ± 5.62） days, （ P 〈 0.01 ）. [ Conclusion] The medicinal charcoal gastroenterie irrigation can reduce the atropine dose, reduce the mortality significantly and shorten the hospitalization days in the AOPP.

关 键 词：药用炭 胃肠灌洗 有机磷中毒 

分 类 号：R595.4[医药卫生—内科学]