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医联体联动救治突发群体性乌头碱中毒患者处置流程分析
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Abstract:
目的：探讨医联体联动救治突发群体性乌头碱中毒的流程及效果。方法：通过回顾性分析3起23例突发群体性乌头碱中毒患者的临床资料，归纳总结在院前急救、院内急救、诊断与鉴别诊断、治疗４个阶段医联体联动救治突发群体性乌头碱中毒的流程。结果：院前急救阶段尽快洗胃以稳定生命征达到及时转运为目的。院内急救阶段通过高级生命支持进一步稳定生命体征，完善必要相关检查，必要时血液净化。治疗4~6天患者全部康复出院。结论：医联体联动救治突发群体性卫生事件统一部署，整合医疗资源，能大大提高救治成功率，取得更好的社会效益。
Objective: To investigate the process and effect of medical association linkage in the treatment of sudden mass aconitine poisoning. Methods: By retrospectively analyzing the clinical data of 23 patients with aconitine poisoning in 3 cases, the treatment process of sudden mass aconitine poisoning in the four stages of pre-hospital emergency, hospital first aid, diagnosis and differential diagnosis, and treatment was summarized. Result: Gastric lavage as soon as possible in the pre-hospital emergency phase to stabilize vital signs to achieve timely transport. The in-hospital emergency phase further stabilizes vital signs through advanced life support, improves necessary related tests, and purifies blood if necessary. All patients recovered and discharged after 4~6 days of treatment. Conclusion: The unified deployment of the medical association to treat sudden mass health incidents and the integration of medical resources can greatly improve the success rate of treatment and obtain better social benefits.
| [1] | 中华人民共和国国务院. 突发公共卫生事件应急条例(2011年修正本) [Z]. 2010-04-27. |
| [2] | 中华人民共和国卫生部. 卫生部突发中毒事件卫生应急预案[EB/OL].
https://www.hanspub.org/journal/PaperInformation.aspx?paperID=70118, 2011-05-20. |
| [3] | 邱泽武. 群体中毒事件的现状与诊治中应该注意的问题[J]. 中国实用内科杂志, 2007, 27(15): 1155. |
| [4] | 汤春红, 肖雪, 段海真, 等. 乌头碱致中枢神经毒性机制的研究进展[J]. 广西医学, 2018, 40(20): 2448-2451.
https://doi.org/10.11675/j.issn.0253-4304.2018.20.20 |
| [5] | 杨凤明. 68例急性乌头碱中毒急救综合护理体会[J]. 大家健康(下旬刊), 2017, 11(5): 264. |
| [6] | 吴琼玉, 王庭学, 等. 探讨应对突发群体中毒事件的急救组织管理工作[J]. . 临床医药文献电子杂志, 2015, 2(14): 2715. |
| [7] | 田飞, 王宏, 邱泽武, 等. 27起群体中毒事件院内处置与护理体会[J]. 解放军预防医学杂志, 2017, 35(4): 409-410. |
| [8] | 王春华. 群体中毒患者院内护理应急预案探讨[J]. 中国工业医学杂志, 2010, 25(5): 393. |
| [9] | 刘国跃, 何旭, 陈淼, 等. 血液灌流联合连续性静脉-静脉血液滤过抢救乌头碱中毒致心搏骤停患者1例[J]. 中华危重病急救医学, 2016, 28(10): 951-952. https://doi.org/10.3760/cma.j.issn.2095-4352.2016.10.020 |
| [10] | 宋滢. 改良式洗胃法的应用体会[J]. 中华护理杂志, 1998, 33(3): 178. |
| [11] | 陈艳玲, 李亮, 沈锋, 等. 连续性肾脏替代治疗联合血液灌流成功救治重度乌头碱中毒的经验体会[J]. 中国中西医结合急救杂志, 2018, 25(6): 658-661. |
| [12] | 马天娇, 张瑞桃. 草乌中毒25例抢救与护理[J]. 中医药导报, 2006, 12(2): 62. |
| [13] | 张沙沙. 我国应急人力资源网格调配研究[D]: [硕士学位论文]. 成都: 电子科技大学, 2013. |
| [14] | 王培信. 乌头碱中毒引起心律失常33例临床分析[J]. 实用中医药杂志, 2006, 22(3): 183. |
| [15] | Lin, C.C., Chou, H.L. and Lin, J.L. (2002) Acute Aconitine Poisoned Patients with Ventricular Arrhythmias Successfully Reversed by Charcoal Hemoperfusion. The American Journal of Emergency Medicine, 20, 66-67.
https://doi.org/10.1053/ajem.2002.29566 |
