口服百草枯中毒致食管黏膜表层剥脱症的护理  

Nursing care of esophagitis dissecans superficialis caused by acute paraquat poisoning

作　　者：马爽 朱爱芳[2] 阚宝甜 于光彩[2] 郑迎迎[1,2] 林颖 张娟 菅向东[2] Ma Shuang;Zhu Aifang;Kan Baotian;Yu Guangcai;Zheng Yingying;Lin Ying;Zhang Juan;Jian Xiangdong(Nursing School of shandong University,Jinan 250012,China;Qilu Hospital of Shandong University,Jinan 250014,China)

机构地区：[1]山东大学护理学院,济南250014 [2]山东大学齐鲁医院,济南250012

出　　处：《中华劳动卫生职业病杂志》2020年第8期618-621,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：2012年国家临床重点专科建设项目(2012650);泰山学者建设工程专项经费项目(ts20130911);山东省医药卫生重点实验室(鲁卫科教国合字[2013]49号)。

摘　　要：2016年3月至2019年4月山东大学齐鲁医院收治13例口服百草枯(paraquat,PQ)致食管黏膜表层剥脱(esophagitis dissecans superficialis,EDS)患者,对其临床资料进行回顾性分析与总结。EDS一般发生于服毒后的第3~9天,且脱出的食管黏膜大小、颜色、性状不同;13病例经治疗,存活3例、死亡10例,10例死亡患者中有1例咽部疼痛症状于EDS发生后第19天基本消失,但于服毒后第27天死亡,其余9例死亡患者存活时间于服毒后5~19 d,总体治愈率偏低;3例存活患者咽部疼痛症状分别于EDS的第15、16、17天基本消失,进食后均无不适,并逐渐治愈出院。The clinical data of 13 patients with esophageal dissecans superficials(EDS)induced by paraquat(PQ)in Qilu Hospital from March 2016 to April 2019 were analyzed retrospectively.EDS usually occurs on the 3rd to 9th day after taking poison,and the esophageal mucosa is different in size,color and character,in 10 cases of death,1 case of pharyngeal pain basically disappeared on the 19th day after EDS onset,but died on the 27th day after taking poison,and 9 cases of death survived 5~19th days after taking poison,the overall cure rate was low;The pharyngeal pain symptoms of 3 surviving patients basically disappeared on day 15,16 and 17 of EDS,and all patients had no discomfort after eating,and were cured gradually.

关 键 词：百草枯 中毒 食管黏膜表层剥脱症 治疗 护理 

分 类 号：R473.5[医药卫生—护理学]