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目的:分析讨论急性有机磷农药中毒急诊救治的方法特点。方法:对我院2012年01月至2015年01月期间救治的62例急性有机磷农药中毒患者进行回顾分析,对患者的临床资料、治疗方法以及预后结果进行归纳分析。结果:62例急性有机磷中毒患者,有6例患者抢救无效死亡,其余56例患者均存活,救治成功率为90.32%。结论:对于急性有机磷中毒患者要进行综合救治:及时去除体表及胃内残留农药;合理使用抗胆碱药以及胆碱酯酶复能剂;预防和治疗呼吸衰竭,维持通气功能是救治成功的关键。
Objective: To analyze and discuss the characteristics of emergency treatment of acute organophosphorus pesticide poisoning. Methods: A total of 62 patients with acute organophosphorus pesticide poisoning who were treated in our hospital from January 2012 to January 2015 were retrospectively analyzed. The clinical data, treatment methods and prognosis were analyzed. Results: Sixty-two patients with acute organophosphate poisoning died of salvage and the remaining 56 patients survived. The success rate of salvage treatment was 90.32%. Conclusion: For patients with acute organophosphate poisoning, comprehensive treatment should be carried out: timely removal of residual pesticides from body surface and stomach; rational use of anticholinergic drugs and cholinesterase agents; prevention and treatment of respiratory failure and maintenance of ventilation are the keys to successful treatment.