微量泵持续输入大剂量地西泮抢救重度毒鼠强中毒的观察与护理  

Emergency Management and Nursing Care of Treatment on Acute Tetramine Poisoning in Patients with high-dosage Diazepam using intravenous infusion mini-pump

作　　者：方宗丽[1] 宁德志[1] 黄光华[1] 

机构地区：[1]广西灵山县人民医院,535400

出　　处：《医学信息（下旬刊）》2011年第5期233-234,共2页Medical information

摘　　要：目的：探讨微量泵持续输入大剂量地西泮抢救急性重度毒鼠强中毒用药过程中观察和护理.方法：22例急性重度毒鼠强中毒患者,除常规治疗外,均使用微电脑输液泵持续输入大剂量地西泮,控制肌肉痉挛,用量最大达610mg.结果：22例（95.5%）患者经微量泵持续输入地西泮治疗与细致护理,除1例（4.5%）出现MODS最后死亡外,21例均治愈出院,住院时间最长26d,最短10d,疗效显著.结论：大剂量地西泮持续微量泵静脉输入治疗急性重度毒鼠强中毒疗效肯定,护理人员需严格掌握地西泮的作用与副作用,判定标准,临床工作中严密观察病情.Objective： To investigate the points of measures about emergency salvage and nurse of acute severe tetramine poisoning（ASTP）. Methods ： 22 case3, who were poisoned by ASTP taken orally, were treated by washing stomach, catharsis, transfusion, keeping electrolyte balance, aborative nursing care, keeping respiratory tract clear, observing llfe signs closely and injecting high--dosage Diazepam using intravenous infusion mini- pump. Results：Twenty--one patients（95.5%）were completely recovered and one patient （4.5%） were dead from MODS. The mean dura;tion of emergency care was 14d（ 10- 26d）. Conclusion： injecting high--dosage Diazepam using intravenous infusion mini--pump have good effect on rescuing ATP. When nurse need to adhere to the dffects and side effects of Diazpam strictly, aborative nursing caxe are important to rescue the patients effectively.

关 键 词：毒鼠强 大剂量地西泮 微量泵输入 护理 

分 类 号：R473.5[医药卫生—护理学]