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目的探究重症有机磷农药中毒合并呼吸衰竭患者应用急诊ICU救治的对策与效果。方法本次实验研究选择的实验对象是2014年8月至2016年10月本院接收并治疗的20例重症有机磷农药中毒合并呼吸衰竭患者,并通过随机样表法分为对照组与研究组两组,每组患者各10例,对照组抽取的对象按照常规治疗,研究组抽取的10例研究对象在应用常规治疗基础上加用呼吸机治疗,观察并分析对比两组重症有机磷农药中毒合并呼吸衰竭患者分别应用不同急救治疗方法的效果与特点,重点观察了研究组的治疗措施与效果,包括重症有机磷农药中毒合并呼吸衰竭患者通过急救治疗后的PaCO_2、PaO_2与pH值等血气分析指标的变化情况。结果观察组患者通过治疗后其PaO_2、PaCO_2、pH值明显优于对照组常规治疗后其PaO_2、PaCO_2、pH值,两组数据差异性较大(P<0.05),具有统计学研究价值。结论针对重症有机磷农药中毒合并呼吸衰竭患者必须要高度重视,在急救治疗中除了要实施基础性救治措施,还需要应用呼吸机进行急救治疗,缓解患者的呼吸衰竭状况,提高治疗效果。
Objective To explore the countermeasures and effects of emergency ICU in patients with severe organophosphorus pesticide poisoning and respiratory failure. Methods The experimental subjects selected in this study were 20 patients with severe organophosphorus pesticide poisoning and respiratory failure received and treated in our hospital from August 2014 to October 2016 and divided into control group and study group Two groups of 10 patients in each group. The subjects in the control group were treated according to the conventional therapy. Ten patients in the study group were treated with ventilator on the basis of conventional treatment. The incidence of severe organophosphorus pesticide poisoning was observed and compared between the two groups The effects and characteristics of different emergency treatment methods were compared in patients with respiratory failure. The treatment measures and effects of the study group were mainly observed, including PaCO 2, PaO 2 and pH values after emergency treatment in patients with severe organophosphorus pesticide poisoning and respiratory failure Indicator changes. Results After treatment, PaO_2, PaCO_2 and pH values of patients in observation group were significantly better than PaO_2, PaCO_2 and pH values after routine treatment in the control group. The difference between the two groups was statistically significant (P <0.05). Conclusion Severe organophosphorus pesticide poisoning combined with respiratory failure patients must attach great importance to the emergency treatment in addition to the implementation of basic treatment measures, but also need to apply the respirator for emergency treatment to alleviate the patient’s respiratory failure and improve the therapeutic effect.