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目的:分析有机磷农药慢性中毒患者的体征、症状、治疗与转归。方法:17例慢性有机磷农药中毒患者,根据临床症状、体征及辅助检查,给予脱离有机磷农药并同时给予特效解毒药物长托宁,0.5mg,每日2次,肌注,用药(3～5)次治疗。结果:17例患者出院时胆碱酯酶均恢复正常,临床症状消失。结论:慢性有机磷农药中毒病因隐匿,临床上易漏诊、误诊,但根据其临床特点并结合实验室检查,也不难诊断,经合理的治疗,绝大部分患者能够完全恢复健康。
Objective: To analyze the signs, symptoms, treatment and outcome of organophosphate pesticide chronic poisoning patients. Methods: Seventeen patients with chronic organophosphorus pesticide poisoning were given organic TP pesticides and long-acting topical antidote 0.5 mg twice a day for intramuscular injection and medication according to clinical symptoms, signs and auxiliary tests. 5) times treatment. Results: Cholinesterase returned to normal in 17 patients and the clinical symptoms disappeared. Conclusion: The cause of chronic organophosphorus pesticide poisoning is hidden, it is easy to misdiagnosis and misdiagnosis in clinical practice. However, according to its clinical features and laboratory tests, it is not difficult to diagnose. After reasonable treatment, most patients can completely recover their health.