急性百草枯中毒患者成功救治的循证实践  

Evidence-based practice of successful treatment of patient with acute paraquat poisoning

作　　者：吴红恩 姚新宇 陈晓洁 Wu Hong'en;Yao Xinyu;Chen Xiaojie(The Fourth People's Hospital of Hengshui,Hengshui 053000,Hebei,China;Zhangjiakou University,Zhangjiakou 075000,Hebei,China;Department of Nursing,Harisun International Peace Hospital Afiliated to Hebei Medical University,Hengshui 053000,Hebei,China)

机构地区：[1]衡水市第四人民医院,河北衡水053000 [2]张家口学院,河北张家口075000 [3]河北医科大学附属哈励逊国际和平医院护理部,河北衡水053000

出　　处：《中国中西医结合急救杂志》2024年第1期103-105,共3页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

摘　　要：目的应用循证医学理念治疗百草枯中毒患者,探讨百草枯中毒的诊治方案及护理措施。方法选择2022年2月4日河北省衡水市第四人民医院急诊科收治的1例百草枯中毒患者作为研究对象。通过循证实践策略,检索国内外有关百草枯中毒患者救治的相关文献,查找临床证据,制定并实施诊治方案,观察患者预后。结果患者女性,54岁,主因空腹口服百草枯农药约100mL中毒后1.5h就诊于当地医院,紧急行洗胃、补液促排泄等处理,服毒后4h为进一步诊治入住本院。入院后在循证实践支持下进行治疗及护理,最终患者成功治愈出院。结论在百草枯中毒患者的治疗护理过程中,采取早期识别、早期快速减少毒物吸收、早期促进毒物排泄、早期实施器官功能支持与保护、严密监护,能遏制百草枯中毒患者病情进展,提高救治成功率。Objective To apply the idea of evidence-based medicine to treat patients with paraquat poisoning,exploring diagnosis,treatment plan and nursing measures for paraquat poisoning.Methods A patient with paraquat poisoning diagnosed and treated in the department of emergency of the Fourth People's Hospital of Hengshui from February 4,2022 was selected as the study object.Based on the evidence-based practice strategy,the literature on the treatment of paraquat poisoning patients at home and abroad was searched,the clinical evidence was searched,the diagnosis and treatment plan was formulated and implemented,and the prognosis of patients was observed.Results The patient,a 54-year-old female,was hospitalized in a local hospital 1.5 hours after being poisoned by oral administration of about 100 mL of paraquat pesticide on an empty stomach.She underwent emergency gastric lavage and liquid rehydration to promote excretion and was admitted to our hospital 4 hours after taking the poison for further diagnosis and treatment.After admission,the patient was treated and nursed with the support of evidence-based practice.Finally,the patient was successfully cured and discharged.Conclusion In the treatment and nursing process of patients with paraquat poisoning,timely identification,rapid reduction of poison absorption,early promotion of poison excretion,immediate implementation of organ function support and protection,along with strict monitoring,can curb the progress of disease and improve the success rate of treatment.

关 键 词：百草枯中毒 血液灌流 循证实践 

分 类 号：R459.7[医药卫生—急诊医学]