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抢救有机磷农药中毒虽有特效解毒剂,但由于重度中毒者治疗药物用量大,维持时间长,易致阿托品超量中毒,或减量反跳,致死病例时有发生。近年我院急诊科采用换血辅助解毒剂治疗,弥补了传统治疗的不足。1 材料与方法1.1 病例重度有机磷农药中毒24例系我院1994年3月～1995年2月急诊抢救留察病例。随机分为A、B二组(A:治疗组,B:对照组)各12例。其中A组甲胺磷中毒5例,乐果中毒3例,水胺硫中毒4例。年
Rescue of organophosphate pesticide poisoning despite the effects of antidote, but due to severe poisoning treatment of large amounts of drugs, to maintain a long time, easy to cause excessive poisoning atropine, or rebound reduction, sometimes fatal cases occur. In recent years, our hospital emergency department using exchange of blood antidote treatment, to make up for the lack of traditional treatment. 1 Materials and Methods 1.1 cases of severe organophosphorus pesticide poisoning in 24 cases of our hospital from March 1994 to February 1995 emergency rescue cases were observed. Randomly divided into A, B two groups (A: treatment group, B: control group) in 12 cases. Methamidophos group A poisoning in 5 cases, 3 cases of dimethoate, water amine sulfur poisoning in 4 cases. year