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
Analysis of the Treatment Process of Patients with Sudden Mass Aconitine Poisoning by the Linkage of Medical Alliance
DOI: 10.12677/ACREM.2023.113010, PDF,   
作者: 刘 勋, 胡 强, 安远华, 罗正丽：攀枝花市中心医院急诊科，四川 攀枝花
关键词: 突发群体性；乌头碱；中毒；血液净化； Sudden Mass； Aconitine； Poisoning； Blood Purification
摘要: 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。
Abstract: 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.
文章引用：刘勋, 胡强, 安远华, 罗正丽. 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[J]. 亚洲急诊医学病例研究, 2023, 11(3): 59-63. https://doi.org/10.12677/ACREM.2023.113010

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