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目的:探讨高海拔地区小儿急性有机磷中毒并发中间综合征的抢救与护理。方法:我科2002年1月—2010年1月收治的17例急性有机磷中毒中间综合征患儿的临床资料和护理措施。结果:17例急性有机磷中毒中间综合征患儿,均来自海拔2 260m~2 800m地区,通过积极的治疗和护理,15例治愈出院,2例好转出院。结论:在胆碱能危象消失后,仍需严密观察病情变化,及早发现中间综合征,对有呼吸肌麻痹者迅速建立人工机械通气,加强通气期间呼吸道护理,可明显提高救治成功率。
Objective: To investigate the rescue and care of children with acute organophosphate poisoning complicated with middle syndrome in high altitude area. Methods: The clinical data and nursing measures of 17 children with intermediate syndrome of acute organophosphate poisoning admitted to our department from January 2002 to January 2010 were retrospectively analyzed. Results: All the 17 children with intermediate syndrome of acute organophosphate poisoning were from 2 260m to 2 800m above sea level. After active treatment and nursing, 15 cases were cured and 2 cases were discharged. Conclusion: After cholinergic crisis disappears, it is still necessary to observe closely the changes of disease and early detection of intermediate syndrome. Rapid establishment of artificial ventilation for patients with respiratory muscle paralysis and respiratory protection during ventilation can significantly improve the success rate of treatment.