| 熊念芬 吴玄生 邹维武 尹杨光 江玉.急性百草枯中毒患者早期并发症的特点及其影响预后的临床研究[J].,2014,14(12):2335-2338 |
| 急性百草枯中毒患者早期并发症的特点及其影响预后的临床研究 |
| Clinical Study on the Characteristics of Early Complications in Patients withAcute Paraquat Poisoning and Influence the Prognosis |
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| DOI： |
| 中文关键词: 急性 百草枯中毒 早期并发症 预后 影响因素 |
| 英文关键词: Acute Paraquat poisoning Early complication Prognosis Influencing factor |
| 基金项目:四川省教育厅项目（11ZB130） |
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| 中文摘要: |
| 目的：探讨分析急性百草枯中毒患者早期并发症的特点及其影响预后因素。方法：对我院收治的87 例急性百草枯中毒患者
的临床资料进行回顾性分析，并按照是否中毒死亡，分成死亡组与存活组，检验并对比分析两组患者并发症发生率差别。结果：77
例患者早期出现并发症状，发生率为88.51%，其中凝血功能障碍发生率最高，占52.9%；死亡组患者与存活组患者在肝功能障碍、
凝血功能障碍、呼吸功能损害、胰腺功能障碍以及肌肉损害等并发症发生率对比，差异具有统计学意义（P<0.05）。结论：急性百草
枯中毒患者具有较高的死亡率，应在早期关注患者出现的各种并发症症状，采取有效措施预防与治疗肝功能障碍、凝血功能障
碍、呼吸功能损害、胰腺功能障碍以及肌肉损害等症状，有利于改善患者预后情况，值得临床进一步研究与探讨。 |
| 英文摘要: |
| Objective:To analyze the risk factors of clinical medication by means of detecting and inspecting the safe use behaviors
of drugs in our hospital, and to explore the probable measures to strength the pharmaceutical risk management so that the security
risks of the usage for drugs could be prevented.Methods:Patients that frommajor department in our hospital were selected to take the investigation
on the medication, and the hospital staff that from the representative sections were surveyed and evaluated by the“Hospital
Drug Safety Monitoring and Evaluation”in terms of the drug risk warning and associated factors assessment. Then the investigative results
were collected and analyzed.Results:The proportion of risk factors: Doctors, 30.50%; Pharmacists, 9.00%. Nurses, 32.00%; Patients,
28.50%. There were 83.3%people that have the knowledge of health care of clinical medicine, but only 50.6%of the staff have the
conscious of taking basic precautions. Medication risk warning survey has showed us that the PASS warning effective rate was 57.5%;
the highest incidence that from patients was 55.16%. External factors followed by 31.29%. Drugs were account for 26.95%.Conclusion:In order to prevent the incidence of drug risks, patients should take care of medication safety, medical institutions should strengthen the
management of clinical medicine, identify and analyze the risks, strengthen the awareness and knowledge of the rational use of drugs as
well as make efforts to build a systemfor medicine control, to create a good medical safety atmosphere for the pharmaceutical field. |
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