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目的 探讨急性有机磷农药中毒 (AOPP)特殊并发症的诊断与治疗。方法 通过对我院 1993- 0 1～2 0 0 3- 0 188例有特殊并发症的重度AOPP患者的诊断与治疗 ,总结其临床表现特点与治疗经过 ,提出特殊并发症的诊断与治疗经验。结果 88例有特殊并发症的重度AOPP患者均为重度AOPP病人 ,死亡 4例 ,治愈 84例。而轻度中毒少有特殊并发症 (P <0 . 0 5 )。早期正确诊断和积极有效治疗 ,可有效降低AOPP患者病死率。结论 早期识别AOPP特殊并发症并给予积极有效治疗是抢救AOPP成功的关键。
Objective To investigate the diagnosis and treatment of special complications of acute organophosphorus pesticide poisoning (AOPP). Methods The diagnosis and treatment of 188 AOPP patients with special complications in our hospital from 1993 to 2001 were summarized, their clinical features and treatment were summarized, and the diagnosis and treatment experience of special complications were put forward. Results A total of 88 AOPP patients with special complications were all severe AOPP patients, with 4 deaths and 84 cases cured. Mild poisonings and rare complications (P <0.05). Correct early diagnosis and effective treatment, can effectively reduce the mortality of AOPP patients. Conclusion Early identification of AOPP specific complications and to give a positive and effective treatment is the key to the success of AOPP rescue.