论文部分内容阅读
目的总结23例三光气中毒患者的救治和应急管理经验,探讨突发公共卫生事件的应急处置和管理,提高整体应急救治水平,最大限度地保障公众健康和生命安全。方法成立应急组织结构,制定应急预案和规范的救治程序。一旦出现突发事件,迅速响应,开辟绿色通道。急性光气中毒遵循早期、足量、短程的原则,及时静脉使用糖皮质激素;合理氧疗;严格控制液体入量;对急性肺损伤、急性呼吸窘迫综合征患者早期给予机械通气;加强呼吸道管理,促进有效排痰;及时给予心理干预。结果经过医护人员的全力救治,23例患者住院3～23 d全部治愈出院。结论领导的高度重视和协调指挥以及医护人员对重大突发事件的高度认识和及时有效的应急能力是保证救治成功的关键。
Objective To summarize the experience of emergency treatment and emergency management of 23 cases of triphosphates poisoning, to discuss the emergency treatment and management of public health emergencies, to improve the overall level of emergency treatment and to ensure the public health and life safety to the maximum extent. Methods Establish emergency organization structure, formulate emergency plans and standard treatment procedures. In the event of emergencies, rapid response, open up the green channel. Acute phosgene poisoning followed early, adequate, short-term principle, timely intravenous use of glucocorticoid; reasonable oxygen therapy; strict control of fluid intake; early acute lung injury, acute respiratory distress syndrome patients given mechanical ventilation early; strengthen respiratory management , To promote effective expectoration; timely psychological intervention. Results After medical staff’s full treatment, 23 patients were hospitalized 3 ~ 23 d were cured. Conclusion The leaders of the high degree of attention and coordination and command and medical staff on a major emergency and a timely understanding of the emergency response ability is to ensure the success of the key.