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目的探讨心率、呼吸、体温指标对中重度有机磷农药中毒阿托品化时阿托品用量上的指导作用。方法对收治的112例中重度有机磷农药中毒患者,利用校正呼吸或体温影响后心率指导阿托品化后阿托品的用量。结果利用校正呼吸或体温影响后心率指导阿托品的使用,能降低农药中毒反跳及阿托品中毒发生率,降低死亡率。结论心率、呼吸、体温指标在中重度有机磷农药中毒阿托品化后阿托品的用量上有重要的意义。
Objective To investigate the effects of heart rate, respiration and body temperature on the dosage of atropine in the moderate and severe organophosphorus pesticide poisoning. Methods A total of 112 patients with moderate or severe organophosphorus pesticide poisoning were enrolled in this study. The amount of atropine after atropine treatment was adjusted according to the heart rate after respiration or body temperature. Results The use of atropine, which is directed by heart rate after adjusting for respiratory or body temperature, can reduce the incidence of pesticide poisoning rebound and atropine poisoning and reduce mortality. Conclusions Heart rate, respiration and body temperature indexes are of great significance in the dosage of atropine after moderate and severe organophosphorus pesticide poisoning.