【摘要】 目的 研究急性有机磷中毒的急救与护理方法，以提高救治水平，降低死亡率。 方法 对我院急诊科2000年7月～2004年5月收治的179例急性有机磷中毒患者的临床资料进行回顾性研究，对中毒途径、中毒程度、服药量、中毒至就诊时间等因素进行分析。 结果 全组治愈167例，治愈率为93.3%，死亡12例，呼吸循环衰竭、中毒反跳、肺部感染为主要死亡原因。 结论 早期彻底洗胃，对阿托品化后认真护理观察，完善综合护理措施是提高急性有机磷中毒患者抢救成功率的关键。

    关键词 急性 有机磷中毒 急救 护理

    First aid and nursing for acute organophosphorus toxicosis

    Zheng Mingrui，Guo Yuehong，Zhang Pengchuan，et al.

    Department of Emergency Medicine，People's Hospital of Beijing Daxing，Beijing102600.

    【Abstract】 Objective To study first aid and nursing method of acute organophosphorus toxicosis，in order to improve the competence of treating and curing and reducing death rate.Methods The clinical materials of179acute patients who was accepted by the emergency department in our hospital for medical treatment from July of2000to July of2004were analysed.Examined the way of toxicosis，toxicosis degree，taking medicine amount and the time of be poi-soned.Results Cured167，cure rate was92.3%and12died.Breathe-circulation failure ......