Effect of cluster emergency nursing for 6 patients with chlorfenapyr poisoning
- VernacularTitle:6例虫螨腈中毒患者集束化急救护理的效果观察
- Author:
Haiyang HU
1
;
Li ZHANG
;
Xihua HUANG
;
Hao SUN
;
Nianxiang LIU
;
Weinan ZHANG
;
Xueli JI
Author Information
- Keywords: chlorfenapyr; insecticides; poisoning; cluster emergency nursing; consciousness disorders
- From: Journal of Clinical Medicine in Practice 2024;28(11):125-128,133
- CountryChina
- Language:Chinese
- Abstract: Objective To observe the effect of cluster emergency nursing in treating patients with chlorfenapyr poisoning.Methods A retrospective analysis was performed for the treatment and nursing processes of 6 patients with chlorfenapyr poisoning.Results Among the 6 patients with chlorfenapyr poisoning,5 cases were orally poisoned and one case was poisoned by respiratory tract and skin absorption of toxins.All of the 6 patients with chlorfenapyr poisoning were treated through the green channel for poisoning treatment,and multidisciplinary cooperation cluster treatment and nursing as well as toxicant detection were carried out.One patient was excluded because no chlorfena-pyr component was detected in the toxicant detection;the remaining 5 patients had different degrees of fever,fatigue,nausea and vomiting and other symptoms in the early stage,and among them,4 pa-tients had high fever and aggravated degree of consciousness disturbance in the later stage of the dis-ease,and died of ineffective treatment for 2 to 11 days after poisoning(one patient was out of contact and was expected to die),with a mortality rate of 80％.Conclusion There is no specific antidote for chlorfenapyr poisoning,and the mortality rate is extremely high.After poisoning,blood,urine and other specimens should be collected as soon as possible for toxic examination.At the same time,early gastric lavage(within 6 hours),intestinal adsorption,gastrointestinal catharsis,enema and oth-er symptomatic treatments should be given.Continuous blood purification should be performed as soon as possible to remove blood toxins,and extracorporeal membrane oxygenation can be performed if con-ditions permit.
