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目的探索对急性有机磷农药中毒的有效抢救方法,提高临床治愈率。方法回顾总结自2009年1月~2011年1月我院前抢救48例患者的院前救治情况。结果对有机磷农药中毒患者及时脱离中毒环境,早期就近洗胃,首诊医生做好解毒药物(阿托品、胆碱酯酶复能剂)的及早应用及运送过程中注意密切观察病情。加强院前急救和宣传也是成功救治有机磷农药中毒患者的关键环节之一。结论院前救治急性有机磷农药中毒是一种安全有效的治疗方法,值得推广。
Objective To explore the effective salvage method for acute organophosphorus pesticide poisoning and improve the clinical cure rate. Methods The review summed up the pre-hospital treatment of 48 patients rescued in our hospital from January 2009 to January 2011. Results The patients with organophosphate pesticide poisoning were promptly removed from the poisoning environment and gastric lavage was performed in the early stage. The first clinicians should pay attention to the early application and debriefing of detoxification drugs (atropine and cholinesterase agents) during the transportation. Strengthening pre-hospital care and advocacy is also one of the key steps in the successful treatment of patients with organophosphate pesticide poisoning. Conclusion Prehospital treatment of acute organophosphorus pesticide poisoning is a safe and effective treatment and is worth promoting.