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气管切开与呼吸机机械通气抢救有机磷农药中毒致呼吸肌麻痹6例
引用本文:王新,程慧,程运友.气管切开与呼吸机机械通气抢救有机磷农药中毒致呼吸肌麻痹6例[J].中国中西医结合急救杂志,1998(5).
作者姓名:王新  程慧  程运友
作者单位:山东省平邑县第二人民医院,平邑县中医医院
摘    要:目的:探讨气管切开与呼吸机机械通气抢救重度有机磷农药中毒(AOPP)致呼吸肌麻痹的疗效。方法:对6例重度AOPP致呼吸肌麻痹患者在综合治疗基础上,及时予气管切开,并使用全能呼吸机机械通气。结果:治愈5例,死亡1例。抢救成功率达83.3%。结论:对重度AOPP患者及时行气管切开,并使用全能呼吸机机械通气,抢救效果良好。

关 键 词:中毒  有机磷化合物  农药  呼吸肌麻痹  气管切开  机械通气

Tracheotomy and mechanical ventilation treating 6 patients with respiratory muscle paralysis induced by organophosphorus pesticide poisoning
Abstract:Objective:To research the therapeutic efficacy of tracheotomy and mechanical ventilation on respiratory muscle paralysis due to severe acute organophosphorous pesticide poisoning (AOPP).Methods:Six cases of respiratory muscle paralysis due to AOPP were treated with tracheotomy and mechanical ventilation on the basis of complex therapy.Results:Five cases were cured and 1 case died,the total curative rate was 83 3%.Conclusions:Tracheotomy in time and mechanical ventiltion provided a better effect for treating severe AOPP patients.
Keywords:poisoning  organophosphorus compounds  pesticide  respiratory muscle paralysis  tracheotomy  mechanical ventilation
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