[1]林艳虹,李 倩.改良洗胃术在急性有机磷中毒治疗的应用现状[J].医学信息,2020,33(16):27-30.[doi:10.3969/j.issn.1006-1959.2020.16.009]
 LIN Yan-hong,LI Qian.Application Status of Modified Gastric Lavage in the Treatment of Acute Organophosphate Poisoning[J].Medical Information,2020,33(16):27-30.[doi:10.3969/j.issn.1006-1959.2020.16.009]
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改良洗胃术在急性有机磷中毒治疗的应用现状()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年16期
页码:
27-30
栏目:
综述
出版日期:
2020-08-15

文章信息/Info

Title:
Application Status of Modified Gastric Lavage in the Treatment of Acute Organophosphate Poisoning
文章编号:
1006-1959(2020)16-0027-04
作者:
林艳虹李 倩
(皖南医学院弋矶山医院急诊内科,安徽 芜湖 241001)
Author(s):
LIN Yan-hongLI Qian
(Department of Emergency Medicine,Yijishan Hospital,Wannan Medical College,Wuhu 241001,Anhui,China)
关键词:
杀虫剂有机磷中毒洗胃
Keywords:
InsecticideOrganophosphate poisoningGastric lavage
分类号:
R595
DOI:
10.3969/j.issn.1006-1959.2020.16.009
文献标志码:
A
摘要:
有机磷酸酯类化合物是农业生产中普遍应用的杀虫剂,因其广泛供应为故意和偶然中毒提供了重要机会。该类杀虫剂毒性强吸收快,并发症多,一旦入侵机体,即可产生强烈的毒性反应,如不及时予以干预,将对患者的生命安全产生极大的威胁,因此尽快清除毒物,阻止毒物内吸收是救治成功的关键。近年来,随着对有机磷中毒综合治疗研究的不断深入,发现洗胃有着举足轻重的作用,但对于高效清除胃内毒物的有效措施及方法仍存在争议。本文就洗胃的必要性、洗胃管的置入、洗胃体位、洗胃液选择、洗胃法设置作一综述,以期为日后建立和规范有机磷中毒洗胃救治提供参考。
Abstract:
Organophosphate compounds are commonly used pesticides in agricultural production, and their wide supply provides important opportunities for intentional and accidental poisoning. This type of insecticides are highly toxic and absorb quickly and have many complications. Once they invade the body, they can produce strong toxic reactions. If they are not intervened in time, they will pose a great threat to the life safety of patients. Therefore, remove the poison as soon as possible to prevent internal absorption of poison is the key to successful treatment. In recent years, with the continuous in-depth research on the comprehensive treatment of organophosphate poisoning, gastric lavage has been found to play a pivotal role, but there are still controversies about effective measures and methods for efficiently removing gastric poisons. This article reviews the necessity of gastric lavage, the placement of gastric lavage tube, gastric lavage position, gastric lavage fluid selection, gastric lavage method setting, and hopes to provide reference for establishing and standardizing gastric lavage treatment of organophosphate poisoning in the future.

参考文献/References:

[1]Bajracharya SR,Prasad PN,Ghimire R.Management of Organophosphorus Poisoning[J].J Nepal Health Res Counc,2016,14(34):131-138. [2]黄跃清,冯宝华,叶少波.反复洗胃在抢救重度急性有机磷中毒36例的救治体会[J].中国临床实用医学,2010,4(4):173-174.[3]Slavica V,Dubravko B,Milan J.Acute organophosphate poisoning: 17 years of experience of the National Poison Control Center in Serbia[J].Toxicology,2018(409):73-79. [4]詹洁.应用生理盐水对急性有机磷农药中毒患者反复洗胃的效果分析[J].航空航天医药,2009(12):44-45.[5]杨淑丽,毛爱香.反复洗胃术在有机磷农药中毒患者抢救中的应用[J].包头医学,2014(1):44-46.[6]Adinew GM,Asrie AB,Birru EM.Pattern of acute organophosphorus poisoning at University of Gondar Teaching Hospital,Northwest Ethiopia[J].BMC Research Notes,2017,10(1):149.[7]唐科.急性有机磷农药中毒患者应用不同方法洗胃的临床疗效分析[J].现代消化及介入诊疗,2015,20,(5):500-502.[8]徐俐.胃镜牙垫在洗胃插管中的应用[J].当代医学,2013(25):68-68,69.[9]吴艳平.改良洗胃法对急性口服中毒患者的救治效果分析[J].中国医药科学,2015,117(21):222-224.[10]李文升,唐雄修,李奇林.气管导管引导下插胃管洗胃在急性重度有机磷农药中毒急救中的应用价值[J].中华卫生应急电子杂志,2015,1(3):26-28.[11]姜树志.两种置管方式用于急诊药物中毒洗胃的治疗效果对比[J].中国处方药,2017,1(15):9-10.[12]黄娅娟,刘训华,吕志红,等.内窥镜面罩用于有机磷农药中毒洗胃的可行性分析[J].临床急诊杂志,2015,16(4):310-312.[13]冯轶,饶正伟,冯刚,等.不同洗胃方式对重度急性有机磷农药中毒69例效果观察[J].现代医药卫生,2016,32(23):3698-3699.[14]杨翠,李桂琴,周慧飞,等.重度口服有机磷等中毒应用口服补液盐重复洗胃的作用[J].中国农村卫生事业管理,2016,36(8):1082-1084.[15]邵赣琴.洗胃的全面改良在有机磷农药中毒患者救治中的应用[C]//中华医学会急诊医学分会第17次全国急诊医学学术年会.2014.[16]李娜.急诊综合治疗重症有机磷农药中毒的效果观察[J].临床合理用药杂志,2019,12(35):68-69.[17]战雪亮.2种浓度去甲肾上腺素洗胃液在有机磷农药中毒急救中的临床疗效观察[J].临床合理用药杂志,2017,10(2):66-67.[18]孙静,何雪莲.两种浓度去甲肾上腺素洗胃液在有机磷农药中毒急救中的效果观察[J].医学信息,2015(10):297-297,298.[19]艾莉.急性有机磷农药中毒两组药物救治的效果观察[J].中国中西医结合急救杂志,2015(4):408-411.[20]陆志飞,王雷,欧晓恩,等.有机磷农药中毒采用洗胃联合导泻治疗的效果观察[J].医学理论与实践,2015,28(4):478-480.[21]杨胜,张冬惠,王绍谦,等.胃肠道毒物优化清除对重度急性有机磷农药中毒患者疗效的影响[J].中国中西医结合急救杂志,2016,23(2):164-167.[22]赵光瑞,王力,任愿,等.生大黄粉冲散洗胃并导泻治疗重症有机磷农药中毒45例[J].现代中医药,2011,31(3):10-11.[23]匡建华,谭崇友,马金珍,等.活性碳混悬液反复鼻饲洗胃治疗急性有机磷农药中毒[J].内科急危重症杂志,2014,20(4):281-282.[24]欧阳金秀,刘金凤,蔡春妙.留置胃管间断洗胃联合活性炭、甘露醇治疗有机磷中毒的效果观察[J].医学理论与实践,2014(3):349-350.[25]张秀梅.排出活性炭胃肠灌洗治疗有机磷中毒128例疗效观察[J].医学信息,2014,27(7):367-367.[26]磨书晖,王飞.多次洗胃抢救急性有机磷农药中毒患者效果分析[J].内科,2017,12(6):828-829,806.[27]廖晨.恒温逐量间断洗胃法在有机磷农药中毒治疗中的应用观察[J].中国社区医师,2016,32(33):74-75.[28]左瑞云,李清云.中、重度有机磷中毒患者洗胃后留置胃管的意义探讨[J].承德医学院学报,2016,33(1):77.[29]王芳,邓克勤,蒋婉英,等.重度有机磷农药中毒洗胃管留置时间的临床研究[J].中华急诊医学杂志,2015,24(1):98-100.[30]孙秀丽.服毒患者初次洗胃后留置胃管的探讨[J].基层医学论坛,2014(17):2234-2235.[31]谭金波,李剑,李德忠,等.持续低压洗胃法在有机磷农药中毒患者洗胃治疗中的应用[J].中国急救复苏与灾害医学杂志,2018,13(8):727-730.[32]刘志勇.有机磷中毒患者静脉麻醉下急诊洗胃的临床疗效观察[J].临床研究,2018,26(10):103-105.[33]胡安.生命支持下改良洗胃术抢救有机磷农药中毒呼吸衰竭研究[J].重庆医学,2014,(27):3622-3624.[34]任继华,汪勇.急诊洗胃抢救有机磷农药中毒患者的效果分析[J].中国当代医药,2014,21(1):32-33.[35]赵丽静,吴坤,韦家露.急诊胃镜下洗胃救治急性有机磷农药中毒的疗效分析[J].临床消化病杂志,2013,25(4):210-212.[36]任磊,纪明军.消化道毒物清除的新方法在有机磷农药中毒临床应用观察[J].医学信息,2016,29(5):287-288.[37]刘洪道.超细电子胃镜在急诊盲插鼻胃管洗胃困难患者中的应用[J].海南医学,2018,29(21):3055-3056.[38]胡灵芝.重症口服有机磷中毒急诊切开洗胃的临床观察[J].医学信息,2015,28(18):187.[39]贾娜.两种洗胃方法对食物中毒患者洗胃不良反应的对比研究[J].医学信息,2015,28(6):327-328.

更新日期/Last Update: 1900-01-01