有机磷中毒致难治性休克15例分析

【摘要】 目的探讨有机磷农药中毒致难治性休克的发病机制、治疗方法,以提高治疗水平。方法对我院救治的15例难治性休克患者的临床表现,救治过程,及转归资料进行综合分析。结果15例病人中除1例各脏器功能衰竭难以纠正,并发脓毒血症死亡外,其余14例病人全部治愈,远期预后良好,神经系统损伤恢复较慢,但绝大部分病人能恢复正常。结论有机磷中毒致难治性休克可能为神经源性休克或过敏性休克,治疗上除系统的解毒治疗外还需应用大剂量的血管活性药物及补充胶体,纠正酸中毒,大剂量的糖皮质激素等治疗。更多还原

【Abstract】 Objective To explore the mechanism and treatment of intractable shock in organophos poisoning patients,in order to raise the treating standard. Methods To comprehensively study the clinical feature, treating process and the outcomes of 15 cases of intractable shock in organophos poisoning patients. Result Exclude 1 case of intractable shock in organophos poisoning patients occur intractable multiple organ failure and died in sepsis septicaemia,the others cure healing well and have better forward prognosis.almost cases become normal incase of nervous system recover slowly.Conclusion Intractable shock in organophos poisoning may be nervous or allgertic shock,therefore,high dose vessel active drugs and glucocorticoid, correcting acidosis, combined with special alexipharmic should be involve in treating organophos poisoning patients.更多还原