1例抑郁症患者经腹部注射有机磷农药中毒的护理
Chinese Journal of Disaster Medicine（2022）
Abstract
口服有机磷农药中毒的案例较为常见,而经腹部注射有机磷农药中毒的案例较为罕见.我院于2021年收治一例抑郁症腹部注射有机磷农药中毒的患者,病情危重且罕见.通过阿托品持续泵入、连续性肾脏替代疗法(Continuous Renal Replacement Therapy,CRRT)、监测各项指标、多学科合作皮肤治疗护理、实施负压封闭引流术(Vcuum Sealing Drainage,VSD),采用医院焦虑和抑郁量表(Hospital Anxiety and Depression Scale,HADS)、Asberg抑郁评定量表(Montgomery-Asberg Depression Rating Scale,MADRS)和自杀风险评估量表(Nurses Global Assessment of Suicide Risk,NGASR),评估患者的心理状态,实施个性化心理护理等措施,最终患者意识清醒,病情稳定转入普通病房继续治疗.本病例的成功救治为今后此类患者护理提供临床依据.
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