肺泡氧动脉分压差对百草枯中毒患者预后的评估价值  

Predictive value of alveolar oxygen artery partial pressure difference in prognosis assessment of patients with oral paraquat poisoning

作　　者：许运铎 张晓博[2] 陈凤兰[2] 鲍倩 耿丽华 白雪景 张桂英[2] XU Yunduo;ZHANG Xiaobo;CHEN Fenglan(The Second People’s Hospital of Hengshui City,Hebei, Hengshui 053000,China;不详)

机构地区：[1]河北省衡水市第二人民医院,053000 [2]河北省衡水市第四人民医院,053000

出　　处：《河北医药》2020年第15期2356-2359,共4页Hebei Medical Journal

摘　　要：目的探讨肺泡氧动脉分压差(A-aDO2)对口服百草枯中毒患者预后的预测价值。方法选择衡水市第四人民医院和衡水市第二人民医院急诊科、重症医学科2017年12月至2019年6月收入住院的经口百草枯中毒的患者。比较存活组和死亡组患者年龄、口服量、服药后呕吐与否、氧和指数、A-aDO2的差异,评估A-aDO2在急性百草枯中毒预后评估中的价值。结果存活组和死亡组患者在口服量、服药后呕吐与否、A-aDO2差异有统计学意义(P<0.05)。结论A-aDO2可以作为一种百草枯中毒患者预后评估的指标。Objective To investigate the predictive value of alveolar oxygen artery partial pressure difference(A-aDO2)in prognosis assessment of patients with oral paraquat poisoning.Methods The patients with paraquat poisoning who were admitted and treated in our hospital from December 2017 to June 2019 were enrolled in the study.The patient’s age,oral dose,vomiting after administration,oxygenation indexes,and A-aDO2 were observed and compared between survival case group and death case group to evaluate the significance of A-aDO2 in the prognosis assessment of acute paraquat poisoning.Results There were statistically significant differences in oral dosage,vomiting after administration,and(A-aDO2)between survival case group and death case group(P<0.05).Conclusion The alveolar oxygen arterial differential pressure can be used as a prognostic index for evaluating the prognosis of patients with paraquat poisoning.

关 键 词：百草枯 肺泡氧动脉分压差 氧化-还原反应 

分 类 号：R595.5[医药卫生—内科学]