海洛因中毒呼吸衰竭47例的抢救体会  

Experience of rescuing respiratory failure caused by heroin intoxication in 47 cases

作　　者：周兴华[1] 孙立果 

机构地区：[1]镇江市第二人民医院急诊科,江苏镇江212002

出　　处：《现代医药卫生》2010年第18期2749-2750,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨急性海洛因中毒呼吸衰竭患者的临床特点及抢救措施。方法:回顾性分析47例急性海洛因中毒致呼吸衰竭患者的临床资料及有关文献。结果:除1例心跳呼吸骤停病例外,46例均以突然昏迷、严重的呼吸抑制,针尖样瞳孔"三联征"为突出特征。入院给予氧改善通气,必要时应用呼吸机,静脉应用纳洛酮均转危为安。结论:"三联征"是急性海洛因中毒的突出特征,尽快明确诊断改善通气,必要时应用呼吸机,静脉应用纳洛酮是抢救成功的关键。Objective：To discuss the clinical features and rescue measures of respiratory failure caused by acute heroin intoxication.Methods：To sum up the clinical presentation, treatment and effects through retrospective analysis on the clinical data and relevant literature of 47 cases.Results：In addition to one case of cardiopulmonary arrest,the others were characteristic with ＂trilogy＂ of the onset of coma,severe respiratory depression and pinpoint pupils.After admission,the oxygen therapy was given to improve ventilation,if necessary,using breathing machines, intravenous application of naloxone.All the cases were out of danger.Conclusion：＂Trilogy＂ is a prominent feature of acute heroin intoxication.Rapid diagnosis,improvement of ventilation, if necessary,using breathing machines,intravenous application of naloxone are the keys to successful treatment。

关 键 词：纳洛酮 海洛因 中毒 呼吸衰竭 抢救 

分 类 号：R5[医药卫生—内科学]