口服镇静催眠药中毒66例临床及药物分析  

Analysis of Clinical and Drug for 66 Cases of Oral Sedativehypnotic Poisoning

作　　者：燕霞[1] YAN Xia(Department of Emergency,Changping District Hospital,Beijing 102200,China)

机构地区：[1]北京市昌平区医院急诊科

出　　处：《中国继续医学教育》2019年第27期129-131,共3页China Continuing Medical Education

摘　　要：目的研究口服镇静催眠药中毒66例临床分析,并进行药物总结分类复习。方法通过总结口服镇静催眠药中毒的病例分析来复习药物分类。结果口服镇静催眠药66例临床病例治疗效果满意。结论在服用镇定催眠药物以后,中毒症状可能表现为呼吸抑制(浅而不规则)、体温和血压下降、嗜睡甚至昏迷等,患者经过催吐、洗胃、导泻、利尿加速排泄,应用特效解毒剂、血液灌流和吸氧、心电监护、血氧饱和度测定、保持呼吸道通畅,输液支持对症治疗,取得了满意的疗效。充分了解镇静催眠药的分类能更好地指导临床口服镇静催眠药中毒的治疗和抢救,并进行合理用药。Objective To study the clinical analysis of 66 cases of oral sedative-hypnotic poisoning and review the classification of drugs.Methods To review the classification of drugs by summarizing the case analysis of oral sedative-hypnotic poisoning.Results The therapeutic effect of 66 cases of oral sedative hypnotics was satisfactory.Conclusion After taking sedative-hypnotic,the symptoms of poisoning may be respiratory depression(superficial and irregular breathing),decrease of blood pressure and body temperature,lethargy or even coma.After emetic,gastric lavage,catharsis,diuretic accelerated excretion,special antidotes,blood perfusion and oxygen inhalation,ECG monitoring,oxygen saturation measurement,breathing retention,infusion supports symptomatic treatment,and satisfactory results have been achieved.Fully understand the classification of sedative-hypnotic can guide the clinical treatment and rescue of oral sedative-hypnotic poisoning better,and rationally use drug.

关 键 词：镇静催眠药 中毒 临床分析 分类复习 对症治疗 呼吸抑制 

分 类 号：R595[医药卫生—内科学]