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目的探讨有机磷中毒致心跳骤停的救治方法,并对治疗经验进行总结。方法对2011年1月至2013年12月我院急诊科收治的由于重度有机磷中毒而导致心跳骤停的13例患者的抢救措施进行回顾性分析。结果 13例患者经抢救2h~18d,心肺复苏成功12例,其中痊愈出院9例,最终因多器官功能衰竭而死亡2例,心脏复跳但患者持续深昏迷、无自主呼吸家属放弃治疗而自动出院死亡1例,心肺复苏失败1例。抢救成功率69.2%。结论对重度有机磷农药中毒致心脏骤停患者立即进行心肺复苏,经口插胃管洗胃,有效清除毒物,正确使用解毒药物及支持对症治疗,可极大提高抢救成功率。
Objective To investigate the treatment of cardiac arrest caused by organophosphate poisoning and to summarize the experience of treatment. Methods Retrospective analysis was performed on the rescue measures of thirteen patients with cardiac arrest caused by severe organophosphorus poisoning admitted to our emergency department from January 2011 to December 2013. Results 13 patients were rescued 2h ~ 18d after resuscitation, 12 patients were successfully recovered after cardiopulmonary resuscitation. Among them, 9 patients were discharged from hospital and finally died of multiple organ failure. The heart resumed but the patient continued to have a deep coma. 1 patient was discharged from hospital, 1 patient failed cardiopulmonary resuscitation. Rescue success rate of 69.2%. Conclusion Cardiopulmonary resuscitation immediately after cardioversion in patients with severe organophosphorus pesticide poisoning, oral gastric tube gastric lavage, effective removal of toxic substances, the proper use of antidotes and support symptomatic treatment can greatly improve the success rate of rescue.