侧卧位对急性百草枯中毒肺的影响  

Effect of lateral position on the treatment of acute lung injury in paraquat poisoning

作　　者：王胜武[1] 陈海宏[1] 高振芳[1] 张翠萍[1] 李保军[1] 范志强[1] 王玲[1] 

机构地区：[1]焦作市人民医院急诊科,河南454002

出　　处：《中国急救医学》2009年第10期917-919,共3页Chinese Journal of Critical Care Medicine

摘　　要：目的评价侧卧位对急性百草枯中毒所致的百草枯肺的治疗效果。方法2007—01—2008—10在我科住院的急性百草枯中毒出现肺损伤的42例患者根据就诊时间和体位分为两组：对照组和治疗组。我们将就诊于2007年不强调体位的患者为对照组（17例）；就诊于2008年强调侧卧位的患者为治疗组（25例）。两组均进行常规洗胃、导泻、灌肠及血液净化等。对两组病例资料进行回顾性分析，并根据CT影像做辅助诊断。结果对照组存活6例，死亡11例，生存率35％；治疗组存活16例，死亡9例，生存率64％。在两组存活的22例中，其中7例是“单肺生存”，15例是曾经在治疗期出现过单肺或双肺损伤现象后又恢复的病例。结论急性百草枯中毒后侧卧位能减少肺部损害的范围，延长患者的生存时间，有利于肺代偿功能的恢复，提高生存率。Objective To evaluate curative effect of lateral position on the treatment of acute lung injury in paraquat poisoning. Methods Form January 2007 to October 2008 in emergency department, 42 patients of lung injury after paraquat poisoning were classified into two groups： control group and treatment group according to admission time and body position. 17 patients of optional body position in 2007 were selected as control group. 25 patients of lateral position in 2008 were selected as treatment group. Gastrolavage, catharsis, clyster and blood purification were carried out in both groups. The cases in both groups were analysed retrospectively, and the results were estimated according to CT. Results 6 patients survived and 11 patients died in control group, survival rates were 35 %; 16 patients survived and 9 patients died in treatment group, survival rates were 64 %. 7 patients were ＂the one lung exists＂, and 15 patients recovered after the one lung or a pair of lung injury during the treatment among the 22 survival patients. Conclusion Lateral position could cut down the range of lung damages, prolong patient ＇s survival time, be beneficial to the recovery of lung compensation, and improve survival rates.

关 键 词：侧卧位 百草枯中毒 急性肺损伤 

分 类 号：R595.43[医药卫生—内科学] R563[医药卫生—临床医学]