留置胃管反复洗胃在急性重症有机磷农药中毒救治中的应用  

The Application of Indwelling Gastric Tube Recurrent Gastric Lavage in the Treatment of Severely Acute Organophosphorus Pesticide Poisoning

作　　者：蒋兰英[1] 黄修丽 费倩[1] 

机构地区：[1]江苏省溧阳市人民医院重症医学科,江苏溧阳213300

出　　处：《中国卫生标准管理》2016年第18期77-79,共3页China Health Standard Management

摘　　要：目的探讨急性重症有机磷农药中毒患者救治时选择留置胃管反复洗胃技术的价值与意义。方法选取23例于2013年1月-2016年5月因有机磷农药中毒在我院ICU接受急性重症治疗的患者,选择留置胃管反复洗胃技术对其进行治疗,观察所选患者急救成功率。结果研究所选的23例患者接受洗胃以及综合疗法治疗后,有2例（8.70%）死亡,10例（43.48%）家属要求放弃治疗,自动出院,11例（47.83%）于院内成功抢救、出院。结论临床治疗有机磷农药中毒患者时,选择留置胃管反复洗胃方案效果显著,有助于提升急救工作成功率。Objective To investigate the value and significance for patients,who are suffered with severely acute organophosphorus pesticide poisoning,by using the indwelling gastric tube recurrent gastric lavage technology. Methods 23 cases of patients treated in our hospital ICU,from January 2013 to May 2016 were selected for treatment of severely acute organophosphorus pesticide poisoning with indwelling gastric tube for healing the recurrent gastric lavage technology,then the success rate of emergency patients was observed. Results 23 selected patients received gastric lavage and integrated therapy after treatment. 2 cases died（8.70%）,10 cases family members asked to give up the treatment（43.48%）,then got the automatic discharge. 11 cases（47.83%）in hospital obtained successful rescue,afterwards discharged from hospital. Conclusion During the clinical treatment for the patients,who suffered with organophosphorus pesticide poisoning,the effect of indwelling gastric tube recurrent gastric lavage solution is remarkable,so it can help to improve the success rate in emergency work.

关 键 词：成功率 有机磷农药中毒 留置胃管 反复洗胃 

分 类 号：R595.4[医药卫生—内科学]