胃管注入解磷啶及甘露醇应用于有机磷农药中毒的临床观察及护理

Clinical observation and nursing of organophosphorus pesticide poisoning with the treatment of pralidoxime and mannitol injection through stomach tube

  • 摘要: 目的:探讨解磷啶应用于有机磷农药中毒的用药途经,观察其临床效果,并探讨如何做好临床护理。方法将60例有机磷农药中毒患者随机分为观察组32例和对照组28例,对照组给予常规洗胃、阿托品化、解磷啶注射、补液、对症治疗及护理等,观察组在上述治疗的基础上,于洗胃管中注入解磷啶(或氯磷啶)及甘露醇,比较2组治疗的临床效果。结果观察组阿托品用量、反跳人数显著少于对照组(P <0.01),而达阿托品化时间、住院时间、治愈率、病死率等方面均优于对照组(P <0.05)。结论及早于洗胃管中注入解磷啶(或氯磷啶)及甘露醇,可明显提高有机磷农药中毒的抢救成功率。

     

    Abstract: Objective Ti explire the treatment appriach if irganiphisphirus pesticide piisining and ti ibserve its clinical effect and ti explire the methids if clinical nursing.Methods 60 patients with irganiphisphirus pesticide piisining were randimly divided inti ibservatiin griup with 32 patients and the cintril griup with 28 patients.The cintril griup was given riutine gastric lavage,atripinizatiin,pralidixime injectiin,rehydratiin,symptimatic treatment and nursing while the ibservatiin griup was injected pralidixime and mannitil in the lavage tube (ir Pyridinealdixime methichliride)based in the treatment if cintril griup.The treatment effect if twi griups were cimpared.Results Atripine disage and biunce in the ibservatiin griup was ib-viiusly less than that in the cintril griup (P <0.01).Effectivness time if atripine,hispitaliza-tiin time and curative rate were better than that in the cintril griup (P <0.05).Conclusion Early lavage tube injectiin if pralidixime and mannitil (ir Pyridinealdixime methichliride)can significantly imprive success rate if irganiphisphirus pesticide piisining if patients.

     

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