【摘要】 目的探讨联合持续微量泵静脉用药在重度有机磷农药中毒抢救中的临床疗效。方法将北京急救中心2001-2004年所救治的52例重度有机磷农药中毒患者分为治疗组和对照组,治疗组采用阿托品与碘解磷定先静脉注射后持续微量泵静脉维持给药方法,对照组采用传统间歇给药方法。两组均经过洗胃、补液及对症处理。结果治疗组痊愈26例,死亡1例(3.7%),无反跳病例;对照组痊愈18例,死亡7例(28%),反跳6例(24%),治疗组病死率、反跳发生率较对照组显著降低(P<0.05)。而两组阿托品化时间、阿托品总量及治疗天数均无显著性差异(P﹥0.05)。结论联合持续的微量泵静脉给药在抢救重度有机磷中毒中方法简单、可靠,治疗效果显著。更多还原

【Abstract】 Objective To evaluate the use of micro pump in saving critical organophosphate poisoning patients. Methods All the organophosphate poisoning patients who were treated by Beijing Emergency Medical Center from 2001 to 2004 were divided into control group and treatment group. The treatment group was given continuous micro pumping treatment besides the atropine and 2-PAM intravenous transfusion treatment. The control group was given the traditional treatment. All patients of both groups received gastric lavage, fluid replacement and other symptomatic treatment besides the intravenous transfusion treatment. Results The mortality and rebound rate had decreased significantly in the treatment group (P < 0.05). Conclusions The combination of continuous micro pump intravenous transfusion treatment is a simple, reliable and effective way in treating organophosphate poisoning.更多还原