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2017 ; 96
(25
): e7237
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Clinical emergency treatment of 68 critical patients with severe organophosphorus
poisoning and prognosis analysis after rescue
#MMPMID28640122
Dong H
; Weng YB
; Zhen GS
; Li FJ
; Jin AC
; Liu J
Medicine (Baltimore)
2017[Jun]; 96
(25
): e7237
PMID28640122
show ga
This study reports the clinical emergency treatment of 68 critical patients with
severe organophosphorus poisoning, and analyzes the prognosis after rescue.The
general data of 68 patients with severe organophosphorus poisoning treated in our
hospital were retrospectively analyzed. These patients were divided into 2
groups: treatment group, and control group. Patients in the control group
received routine emergency treatment, while patients in the treatment group
additionally received hemoperfusion plus hemodialysis on the basis of routine
emergency treatment. The curative effects in these 2 groups and the prognosis
after rescue were compared.Compared with the control group, atropinization time,
recovery time of cholinesterase activity, recovery time of consciousness,
extubation time, and length of hospital stay were shorter (P?.05); the total
usage of atropine was significantly lower (P?.05); Glasgow Coma Score was
significantly higher (P?.05); acute physiology and chronic health score (APACHE
II) was significantly lower (P?.05); and mortality and poisoning rebound rate
was significantly lower (P?.05) in the treatment group.Hemoperfusion and
hemodialysis on the basis of routine emergency treatment for critical patients
with organophosphorus poisoning can improve rescue outcomes and improve the
prognosis of patients, which should be popularized.