重度有机磷中毒实施血液灌流的护理与观察(1)
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中图分类号：R139+.3
文献标识码： A
文章编号： 1814-8824(2008)-3-0017-03
摘要:目的 探讨血液灌流(HP)治疗重度有机磷农药中毒的效果及护理措施。方法 对我院收治的重度有机磷中毒患者随机分为两组，血液灌流治疗组在常规内科治疗的同时进行血液灌流，对照组行常规内科治疗。结果 治疗组在昏迷时间、低血压持续时间、胆碱酯酶(chE)活性恢复时间明显缩短，阿托品用量减少，治愈率提高。与对照组比较差异显著(P<0.05)。结论 血液灌流是抢救重度有机磷中毒的快速而有效的治疗措施，可大大提高治愈率，缩短住院时间。
关键词 有机磷中毒 血液灌流 护理
Nursing and Clinical Observation of Hemoperfusion Applied to Severe Organic Phosphoram Poisoning.Li Gui-ping,Song fang-e.Affiliated Hospital of Jining Medical College ,Jining 272029,Shandong，China.
【Abstract】Objective To discuss effect and nursing intervention of severe organophosphate poisoning (AOPP) treated with hemoperfusion.Method Dividing the patients with severe AOPP into two groups. Hemoperfusion treating group took convention medical treatment as well as hemoperfusion, the control group took convention medical treatment.Result Coma time, hypotension continue time and CHS activity recovery time of treating group shortened obviously, dose of atropine reduced and the healing rate improved. It has obvious difference contrasted with the control group(P<0.05).Conclusion Hemoperfusion is a quick and effective treating measure to rescue severe AOPP, can improve healing rate greatly and shorten length of stay. ......
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