院前急救对重度急性有机磷农药中毒的影响

张铁绳

（陕西省潼关县人民医院急诊科，陕西 渭南，714300）

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摘要：

目的 探讨院前急救对重度急性有机磷农药中毒的影响。方法 收集2014年1月至2015年8月我院收治的重度急性有机磷农药中毒患者81例的临床资料，将经过院前急救的41例患者设为观察组，未采用院前急救只采用院后救治的另外40例患者设为对照组，观察对比两组患者的救治效果。结果 观察组无治疗期时间、反跳及呼吸衰竭发生率、治愈率及死亡率均明显优于对照组（P<0.05）；观察组解毒剂使用剂量及CHE 活力恢复时间均明显优于对照组（P<0.05）；观察组平均住院时间 明显短于对照组（P<0.05）。结论 院前急救应用于重度急性有机磷农药中毒患者救治中，可有效改善患者临床症状及预后效 果，值得推广。

关键词：院前急救；重度有机磷农药中毒；CHE 活力

中图分类号：R595.4文献标志码：A文章编号：2096-1413(2017)29-0041-02

Effect of pre-hospital first aid on severe acute organophosphorus pesticide poisoning
ZHANG Tie-sheng
(Department of Emergency, Tongguan County People``s Hospital, Weinan 714300, China)

ABSTRACT: Objective To investigate the effect of pre-hospital emergency in the treatment of acute severe organophosphorus pesticide poisoning. Methods The chincal data of 81 cases of patients with severe acute organophosphorus pesticide poisoning admitted in our hospital from January 2014 to August 2015 were collected. Forty-one patients who were treated with pre-hospital emergency were enrolled in the observation group, and 40 patients who were treated with hospital treatment without pre-hospital emergency were enrolled as the control group. The treatment effects were compared between the two groups. Results No treatment time, incidence rate of rebound and respiratory failure, cure rate and mortality rate in the observation group were significantly superior to those in the control group (P<0.05); the usage dose of antidote, recovery time of CHE activity in the observation group were significantly better than those in the control group (P<0.05); the average hospitalization time in the observation group was significantly shorter than that in the control group (P<0.05). Conclusion Pre-hospital emergency applied in patients with severe acute organophosphorus pesticide poisoning can effectively improve the clinical symptoms and prognosis of patients, which is worth promoting.
KEYWORDS: pre-hospital emergency; severe organophosphorus pesticides; CHE activity

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