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目的:对导致中间综合征及喉头水肿的相关因素进行分析并制定气管插管和使用呼吸机治疗时机,拔管及撤机时间的把握。方法:对急诊科抢救治疗100余例有机磷农药中毒中出现中间综合征及喉头水肿10例患者的诊治体会进行经验总结。结果:通过对10例中间综合征及喉头水肿患者的抢救过程中总结经验,从而制定了有效的抢救措施,提高抢救成功率。结论:进行气管插管和使用呼吸机的中毒患者,把握好拔管和撤机时机,大大地提高了抢救的成功率和减少了各种并发症的发生率。
OBJECTIVE: To analyze the related factors that lead to intermediate syndrome and laryngeal edema and to establish the timing of tracheal intubation and ventilator treatment, the time of extubation and weaning. Methods: To summarize the diagnosis and treatment of 10 cases of middle syndrome and laryngeal edema in more than 100 cases of organophosphorus pesticide poisoning in emergency department. Results: Through the experience of 10 cases of middle syndrome and laryngeal edema in the rescue process, we developed effective rescue measures to improve the success rate of rescue. Conclusion: Intratracheal intubation and use of ventilator poisoning patients, to grasp the timing of extubation and weaning, greatly improving the success rate of rescue and reduce the incidence of various complications.