55例重症精神药物中毒患者的治疗分析  

Analysis of therapy of 55 severe patients with psychotropic drugs poisoning

作　　者：余天浩[1] 张宙[1] 

机构地区：[1]南京医科大学附属脑科医院

出　　处：《中国民康医学》2010年第23期3001-3002,3005,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨分析服用精神药物自杀的重症患者的抢救措施和治疗方法。方法:通过对55例服药自杀后收入ICU的重症患者的病情和治疗进行分析。结果:55例患者均予早期大量补液、利尿以促进药物代谢,及抗炎和支持等治疗,其中17例予气管插管,机械通气,所有患者神志均转清,出院或转普通病房继续治疗。结论:精神药物中毒的重症患者,应在早期收入ICU,给予全方位的治疗和监护。对于其中伴有严重呼吸障碍者,早期建立人工气道是十分必要的措施,能极大的改善患者的预后。Objective ：To investigate the rescue measurements and treatments of severe patients with committing suicide by tak- ing psychotropic drugs. Methods：The condition and treatment of 55 severe patients with committing suicide in ICU were analyzed. Re- suits： All of 55 patients given a large quantity of rehydration during early stage, dieresis to enhance drug metabolize, anti - inflamma- tory and supporting therapy. Among them, 17 case of tracheal intubation and mechanical ventilation. All the patients turned conscious, discharged or transferred to a general ward to continue the treatment. Conclusions： Severe patients with psychotropic drug poisoning even in early stage should be admitted to ICU, given comprehensive treatment and care. For with severe respiratory disorder, it was necessary to establish artificial airway, it could greatly improve the prognosis.

关 键 词：精神药物 自杀 治疗 机械通气 

分 类 号：R971.4[医药卫生—药品]