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目的观察阿托品的微量泵应用对急性有机磷农药中毒(AOPP)合并中间综合征(IMS)的治疗效果。方法 16例AOPP并IMS患者采用阿托品微量泵持续静脉输注治疗,总结其临床表现特点与治疗经过及其治疗经验。结果 16例IMS均采用阿托品微量泵治疗,部分患者配合呼吸机的抢救,15例抢救成功,死亡1例。结论及时诊断AOPP合并IMS的发生,并尽快予阿托品微量泵持续静脉注射,适时配合呼吸机的抢救,是抢救成功的关键。
Objective To observe the therapeutic effect of micropump application of atropine on acute organophosphorus pesticide poisoning (AOPP) combined with intermediate syndrome (IMS). Methods Sixteen patients with AOPP and IMS were treated with continuous infusion of atropine and trace pump, and the clinical features, treatment experience and treatment experience were summarized. Results 16 cases of IMS were treated with atropine micropump, some patients with the rescue of ventilator, 15 cases of successful rescue, 1 patient died. Conclusions The timely diagnosis of AOPP combined with IMS and the continuous intravenous injection of atropine and trace pump as soon as possible to meet the rescue of ventilator is the key to successful treatment.