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急性有机磷农药中毒死亡率颇高,我们在救治重危病人时,既有成功的经验,亦有失败的教训。兹结合实例讨论如下。例1.男,20岁。1985年3月10日20时口服DDV乳剂约200ml,1.5小时送我院抢救。服毒后在某医院多次插胃管失败。肌注阿托品50mg后转诊我院。血压60/40mmHg,P 54次/分,R26次/分。深昏迷,面色苍白,唇绀,大汗,流涎,肌震颤。双瞳孔1mm。呼吸节律不整,呈双吸气,两肺满布湿罗音。心率54次/分,音低钝,立即行气管内插管,
Acute organophosphorus pesticide poisoning mortality is high, we are in the treatment of critically ill patients, both successful experience, there are also failed lessons. The following examples are discussed below. Example 1. Male, 20 years old. At 10:00 on March 10, 1985 oral DDV emulsion about 200ml, 1.5 hours to send our hospital for treatment. After taking poison in a hospital multiple gastric tube failure. Intramuscular injection of atropine 50mg referral to our hospital. Blood pressure 60 / 40mmHg, P 54 times / min, R26 times / min. Deep coma, pale, cyanotic cyanosis, sweat, salivation, muscle tremors. Double pupil 1mm. Respiratory irregular rhythm, was double suction, lungs covered with wet rales. Heart rate 54 beats / min, tone low blunt, immediately endotracheal intubation,