急性亚硝酸盐中毒100例临床疗效观察  

Acute nitrite poisoning Clinical analysis of 100 cases

作　　者：王大军[1] 肖丽 王玲玲[1] 

机构地区：[1]山东省聊城市第二人民医院急诊科,252600 [2]临清市人民医院急诊科

出　　处：《中国临床实用医学》2010年第6期209-210,共2页China Clinical Practical Medicine

摘　　要：目的探讨急性亚硝酸盐中毒的临床抢救流程和疗效。方法100例急性亚硝酸盐中毒患者，临床将其分为轻、重、极重三种类型，分别予以不同的抢救方案。①轻型患者给予高流量吸氧-催吐-洗胃-导泄-亚甲蓝-维生素C，给予大量补液，24h 2500～4500ml，晶体约占2／3；②重型患者是液体复苏抗休克，应用多巴胺和纳络酮治疗；③极重型患者重点是防止脏器功能衰竭。结果抢救成功97例（97％），死亡3例（3％）。结论急性亚硝酸盐中毒的治疗关键是正确的抢救流程和抓住抢救重点。Objective Acute nitrite poisoning of the clinical efficacy and rescue process. Methods 100 cases of acute nitrite poisoning patients, clinical will be divided into light and heavy, heavy three types, namely to different rescue programme. （1）in patients with hght to high-flow oxygen-Cuitu-gastric lavage-Introduction to vent-methylene blue-vitamin C, substantial rehydration, 2500-4500 ml/24 h, Crystal about 2/3. （2）is the heavy fluid resuscitation in patients with anti-shock, apphcation dopamine and naloxone treatment. （3）patients with a very heavy focus is to prevent organ failure. Results Successful treatment of 97 cases（97% ） ,3 cases of deaths（3%）. Conclusion Acute nitrite poisoning treatment is the key to the rescue process and the right to seize the rescue focus.

关 键 词：亚硝酸盐 中毒 临床疗效 

分 类 号：R5[医药卫生—内科学]