三甲基氯化锡中毒患者的临床观察与护理  

Clinical study on condition observation and nursing care of patients with trimethyltin chloride poisoning

作　　者：李蓉[1] 郭起财 周丽程[1] LI Rong;GUO Qicai;ZHOU Licheng(Emergency Department of the First Affiliated Hospital ofGannan Medical College,Ganzhou 341000,China)

机构地区：[1]赣南医学院第一附属医院急诊科

出　　处：《国外医学（医学地理分册）》2019年第2期190-193,共4页Foreign Medical Sciences：Section of Medgeography

基　　金：赣州市指导性科技计划(项目编号(No.cz2017ZSF064)

摘　　要：目的探讨三甲基氯化锡中毒患者病情观察组与临床护理效果。方法选择2016年8月—2017年8月治疗的三甲基氯化锡中毒患者16例作为研究对象,所有患者入院后完善相关检查,统计并记录患者神经系统、精神症状、消化系统、心血管系统及泌尿系统症状;对患者行常规辅助检查,包括:生化指标、心电图、脑电图、头颅CT等,评估患者病情变化情况;对于确诊的患者加强患者常规护理,包括:建立组织结构,指导临床治疗工作;实施县、乡医院联合救治;加强患者病情观察,抓住疾病特点;纠正水、电解质平衡;加强患者心理及安全观察。结果16例三甲基氯化锡中毒患者神经系统症状排在前两位的分别为头痛、头晕及乏力;精神症状排在前2位分别为情感障碍及睡眠障碍;消化系统排在前2位分别为纳差、恶心;心血管系统多以胸闷、心悸为主;而泌尿系统症状则以多尿、尿急为主;三甲基氯化锡中毒患者辅助检查中,生化指标检查排在前三位的分别为CK升高、血钙降低、血镁降低,分别为37.50%、37.50%、37.50%;心电图多以窦性心动过缓为主,占68.75%;脑电图1例未进行检查,43.75%患者轻度异常或正常;而头颅MRI检查多以脑白质缺血为主,占62.50%;三甲基氯化锡中毒患者护理后强迫、抑郁、敌对及焦虑评分,均低于护理前(P<0.05)。结论三甲基氯化锡中毒患者加强患者检查能评估患者疾病严重程度,加强患者护理有助于改善预后。Objective To explore the observation group and clinical nursing effect of trimethyltin chloride poisoning.Methods Sixteen patients with trimethyltin chloride poisoning treated from Aug.2016 to Aug.2017 were selected as subjects.All patients were examined after admission to hospital,and the neurological symptoms,mental symptoms and digestive system of the patients were counted and recorded.Cardiovascular system and urinary system symptoms;Routine auxiliary examination was performed on the patients,including biochemical indexes,electrocardiogram(ECG),electroencephalogram(EEG),skull CT,etc.,to evaluate the changes of the patients condition,and to strengthen the routine nursing care of the diagnosed patients,including:establishing the organizational structure and guiding the clinical treatment.Treatment work;implementation of combined treatment in county and township hospitals,strengthen patient condition observation,grasp disease characteristics,correct water and electrolyte balance,strengthen psychological and safety observation of patients.Results Headache,dizziness and fatigue were the first two neurological symptoms in 16 patients with trimethyltin chloride poisoning.The top two mental symptoms were affective disorder and sleep disorder.The top two places of digestive system were anorexia,cardiovascular system and cardiovascular system.Chest tightness and palpitation were the main symptoms,while the symptoms of urinary system were polyuria and urination.In the auxiliary examination of patients with trimethyltin chloride poisoning,the top three biochemical indexes were the increase of CK,the decrease of blood calcium and the decrease of blood magnesium,which were 37.50%,37.50%and 37.50%,respectively.Sinus bradycardia accounted for 68.75%,EEG was not examined in 1 case,43.75%of the patients were slightly abnormal or normal,while cerebral white matter ischemia was the main MRI examination,accounting for 62.50%.The scores of obsessive-compulsive,depression,hostility and anxiety in patients with trimethyltin chloride

关 键 词：三甲基氯化锡中毒 病情观察 临床护理 辅助检查 病情特点 

分 类 号：R459[医药卫生—治疗学]