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目的:对急性有机磷农药中毒合并呼吸衰竭患者的急诊相救方法及效果进行探讨。方法:对2010年7月-2012年7月医院收治的35例急性有机磷农药中毒合并呼吸衰竭的患者的临床资料进行回顾性分析。结果:35例患者中有3例因治疗无效死亡,抢救成功率为91.4%;中毒者的死亡原因多为呼吸衰竭、多器官脏器衰竭等;治疗后有2名患者出现右下肺不张症状。结论:呼吸衰竭在急性有机磷农药中毒患者中较为常见,且危害较大。若能在中毒早期及时地给予抗胆碱能药物治疗、借助仪器辅助中毒者进行呼吸并做好后期的脑部复苏治疗,可以有效地应对急性有机磷农药中毒合并呼吸衰竭的继续发展。
OBJECTIVE: To investigate the emergency rescue methods and effects of acute organophosphorus pesticide poisoning combined with respiratory failure. Methods: The clinical data of 35 patients with acute organophosphorus pesticide poisoning and respiratory failure in our hospital from July 2010 to July 2012 were analyzed retrospectively. Results: Three of the 35 patients died of ineffective treatment, the rescue success rate was 91.4%; the cause of death from poisoning was mostly respiratory failure and multiple organ failure; after treatment, 2 patients had right lower pulmonary atelectasis symptom. Conclusion: Respiratory failure is more common in patients with acute organophosphorus pesticide poisoning and is more harmful. If in the early poisoning given anticholinergic drug treatment, with the help of instrument-assisted poisoning breathing and good late brain recovery treatment, can effectively cope with acute organophosphorus pesticide poisoning and respiratory failure continue to develop.