论文部分内容阅读
目的:对急性有机磷中毒致急性胰腺损伤临床治疗进行观察研究。方法:对2015年7月-2016年7月时间区间商丘市第一人民医院接收治疗的20例急性有机磷中毒致急性胰腺损伤患者临床资料开展回顾分析。结果:本组20例患者中18例入院5d左右血淀粉酶恢复至正常水平,腹部压痛、反跳痛消失,于第7d开始进食,之后未见血淀粉酶反复,并且未引发临床症状,占90.0%;;1例患者治疗4d放弃治疗,自动出院,占5.0%;抢救无效死亡1例,占5.0%;经治疗后平均腹痛消失时间(56.7±11.6)h;手术3例,手术率15.0%;平均住院时间(18.7±4.5)d。结论:对急性有机磷中毒致急性胰腺损伤开展及时诊断,并积极实施综合治疗是抢救成功的关键。
Objective: To observe the clinical treatment of acute pancreatic injury caused by acute organophosphate poisoning. Methods: The clinical data of 20 acute pancreatitis patients with acute pancreatitis caused by acute organophosphate poisoning admitted to the First People’s Hospital of Shangqiu City from July 2015 to July 2016 were analyzed retrospectively. Results: Among the 20 patients in this group, 18 cases of blood amylase returned to normal level about 5 days after admission, abdomen tenderness and rebound pain disappeared and began to eat on the 7th day. No blood amylase was found afterwards, and no clinical symptoms were caused, accounting for 90.0%; 1 patient treated 4 days to give up treatment, discharged automatically, accounting for 5.0%; 1 died of rescue ineffective, accounting for 5.0%; average time of abdominal pain disappeared after treatment (56.7 ± 11.6) h; %; Average length of stay (18.7 ± 4.5) d. Conclusion: The diagnosis of acute pancreatic injury caused by acute organophosphorus poisoning and timely implementation of comprehensive treatment are the keys to the successful rescue.