急性百草枯中毒患者的早期干预与预后的相关性分析

摘要

目的：：观察百草枯中毒患者早期护理干预与预后的相关性。方法：回顾性分析2011年8月至2014年6月定西市人民医院急性百草枯中毒患者病例资料，并评价干预时间与预后的关系。结果：共收集病例资料21例，其中救治成功7例，死亡14例，死亡率为67%。从口服百草枯至洗胃、导泻、血液透析联合血液灌流时间越短抢救成功率越高，反之死亡率越高。结论：急性百草枯中毒后采取早期洗胃、导泻、血液灌流联合血液透析治疗可提高患者生存率。%Objective:To observe the relativity between the prognosis and early nursing intervention for the patients with acute paraguat poisoning. Methods:The data of the patients with acute paraguat poisoning were retro-spectively analyzed from August, 2011 to June, 2014 in Dingxi municipality People's Hospital, the relativity between the prognosis and intervention time were evaluated. Results:Altogether 21 cases were collected, seven cases rescued and treated successfully, 14 cases died, and mortality rate was 67%. The shorter the time from taking paraguat poi-soning to gastrolavage, catharsis time, hemodialysis and blood perfusion was, the higher rescue rate was, conversely, the higher the mortality rate was. Conclusion: Early gastrolavage, catharsis, blood perfusion combined with hemodialysis after acute paraguat poisoning could increase survival rate of the patients.