早期呼吸支持技术对重度急性有机磷农药中毒患者疗效和预后的影响  

The impact of early respiratory support technology on the therapeutic effect and the prognosis of severe acute organophosphate poisoning patients

作　　者：赵翔宇[1] 郭明[1] 梁兰玉[1] 苗润丰[1] 董世童[1] 

机构地区：[1]江苏省扬州市第一人民医院急诊科,江苏扬州225001

出　　处：《实用临床医药杂志》2011年第23期46-48,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨早期呼吸支持技术对重度急性有机磷农药中毒(AOPP)患者疗效和预后的影响。方法选择重度AOPP患者68例,分为治疗组35例,对照组33例。2组基础治疗相同,治疗组在基础治疗上采用早期呼吸支持。结果与对照组比较,治疗组吸入性肺炎、阿托品中毒等并发症明显减少、死亡率显著降低、呼吸机使用时间明显减少、住院天数缩短。结论采用早期呼吸支持技术能改善重度AOPP患者预后,降低病死率,治疗效果明显,已成为重度AOPP治疗措施中必要而有效的选择。Objective To evaluate the impact of early respiratory support technology on the therapeutic effect and the prognosis of severe acute organophosphate poisoning （AOPP） patients. Methods 68 cases of T severe AOPP were divided into treatment group （ n = 35） and control group （n = 33）. The foundation treatment of the two groups was the same. The treatment group was added early respiratory support technology. Results Compared with the control group, not only the complications such as aspiration pneumonia, atropine poisoning significantly reduced, but the mortality and total time of mechanical ventilation also significantly decreased. The hospitalization was shorter as well. Conclusion The use of early respiratory support technology can improve the prognosis of patients with severe AOPP, reduce mortality, and the treatment effect is obvious. It has become necessary and effective choice for severe AOPP treatment.

关 键 词：有机磷农药中毒 早期呼吸支持 疗效 预后 

分 类 号：R595.4[医药卫生—内科学]