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目的:寻找提高重度有机磷中毒救治成功率的方法。方法:通过对我院2002～2012年间收治的80例重度有机磷中毒患者的诊治过程进行回顾性分析。结果:先气管插管与先洗胃,反复洗胃与1次洗胃,进行血透与不进行血透在存活率,阿托品化时间,反跳及中间综合征和迟发多神经病的出现机率上都有显著差异。结论:先气管插管再洗胃,保留胃管反复洗胃,进行血透可提高存活率,缩短阿托品化时间,减少反跳及中间综合征和迟发多神经病的出现机率,有临床指导意义。
Objective: To find ways to improve the success rate of treatment of severe organophosphate poisoning. Methods: The diagnosis and treatment of 80 patients with severe organophosphate poisoning admitted to our hospital from 2002 to 2012 were analyzed retrospectively. Results: The first tracheal intubation and gastric lavage, repeated gastric lavage and gastric lavage, hemodialysis and no hemodialysis in the survival rate, atropine time, rebound and intermediate syndrome and the incidence of delayed polyneuropathy There are significant differences. Conclusion: The first tracheal intubation and then gastric lavage, gastric lavage repeated gastric lavage, hemodialysis can increase the survival rate, shorten the time of atropine and reduce the incidence of rebound and intermediate syndrome and delayed polyneuropathy, a clinical guideline .