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目的探讨百草枯中毒的抢救体会及预防对策。方法回顾性分析我院近年来收治的60例百草枯中毒患者的临床资料。结果 60例百草枯中毒患者,均有不同的消化道黏膜烧伤,经过综合抢救,存活7例,死亡53例,死亡率为88.33%。死亡者均出现呼吸窘迫综合征,其中,伴随中毒性心肌炎18例、急性肾功能衰竭15例、中毒性肝炎11例、消化道穿孔6例、皮下气肿3例。死亡时间为中毒后2～16d,平均9.4d。结论只有积极做好预防工作,在农村对百草枯毒性进行大量宣传,加强农民对此农药的使用管理,才能降低误服率;一旦发现中毒事件,应尽早实施全方位综合治疗,以尽可能降低病死率。
Objective To investigate the rescue experience of paraquat poisoning and its preventive measures. Methods The clinical data of 60 paraquat poisoning patients admitted to our hospital in recent years were retrospectively analyzed. Results 60 cases of paraquat poisoning patients had different gastrointestinal mucosal burns, after a comprehensive rescue, survival in 7 cases, 53 deaths, the mortality rate was 88.33%. Among them, 18 cases of toxic myocarditis, 15 cases of acute renal failure, 11 cases of toxic hepatitis, 6 cases of digestive tract perforation and 3 cases of subcutaneous emphysema were found. The death time was 2 ~ 16 days after poisoning, with an average of 9.4 days. Conclusion Only if preventive work is actively carried out, mass publicity of paraquat toxicity in rural areas can be carried out and peasants’ use and management of pesticides can be strengthened so as to reduce the rate of wrongful taking. Once a poisoning incident is found, comprehensive comprehensive treatment should be implemented as soon as possible so as to reduce as much as possible Case fatality rate.