魏玲华

【摘 要】目的：探讨急救护理流程在急性百草枯中毒患者急救中的应用价值。方法：我院从2020年1月开始在急性百草枯中毒患者急救过程中融入急救护理流程，选取2020年1～月至12月间（急救护理流程应用后）收治的49例急性百草枯中毒患者作为研究组，另取2019年1～月至12月间（急救护理流程应用前）收治的40例急性百草枯中毒患者作为对照组，对比两组患者首次洗胃时间、血液灌流时间以及中毒死亡率。结果：研究组首次洗胃时间、血液灌流时间均要短于对照组（P<0.05）。研究组中毒死亡率为18.37%，对照组为37.50%，研究组中毒死亡率要明显低于对照组（P<0.05）。结论：在急性百草枯中毒患者急救过程中应用急救护理流程能够为患者赢得时间，降低中毒死亡率。

【关键词】急救护理流程；百草枯；中毒

Application analysis of emergency nursing process in first aid of patients with acute paraquat poisoning

Wei Linghua

Emergency department of the first people’s Hospital of Qujing City， Yunnan Province 655000

【Abstract】Objective：To explore the application value of emergency care procedures in first aid for patients with acute paraquat poisoning. Methods：From January 2020， our hospital has integrated the emergency care process in the emergency treatment of patients with acute paraquat poisoning， and selected 49 patients with acute paraquat poisoning who were admitted between January and December 2020 （after the application of the emergency care process） as the research group in addition， 40 patients with acute paraquat poisoning admitted between January and December 2019 （before the application of emergency care procedures） were used as the control group. The time of first gastric lavage， hemoperfusion time and mortality of poisoning were compared between the two groups. Results：The time of first gastric lavage and hemoperfusion in the study group were shorter than those in the control group（P<0.05）.The mortality rate of poisoning in the study group was 18.37%， and that of the control group was 37.50%. The mortality rate of poisoning in the study group was significantly lower than that of the control group（P<0.05）. Conclusion：The application of emergency care procedures in the emergency process of patients with acute paraquat poisoning can buy time for patients and reduce the mortality rate of poisoning.

【Key？Words】emergency care procedures； paraquat； poisoning

百草枯為常用除草剂，毒性较高，人经口致死量为30～40mg/kg[1]。百草枯进入血液后，被肺泡大量吸取，与氧分子形成超氧自由基，并在超氧化物歧化酶作用下形成过氧化氢，会抑制肺内脂肪酸合成，并消耗大量还原型辅酶Ⅱ，对正常细胞结构产生直接损害，导致肺部出血、水肿、纤维化[2]。患者服用百草枯后，若未能得到及时救治，致死率极高。在急性百草枯中毒患者急救过程中，需要做好相关护理工作，保证各项抢救环节有效衔接，为患者赢得救治时间，尽可能降低中毒死亡率。我院从2020年1月开始在中毒患者急救过程中融入了急救护理流程，报道如下。

1.1 一般资料

我院从2020年1月开始在急性百草枯中……