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我院于1986年8月,收治一例合成拟除虫菊酯中毒患者,经抢救无效死亡。现报告如下: 方××,男,44岁,农民,喷洒农药后右上肢肿痛8天入院。患者入院8天前在稻田内喷洒拟除虫菊酯农药时,双上肢裸露,右腕部被秧叶割伤一小口。当晚裸露皮肤处搔痒,次日伤口周围红肿,以后逐渐蔓延至右肩部,剧痛。入院前2天,口鼻分泌物明显增多,大汗,尿少,口渴、乏力、低热,双手伴有震颤,既往体健,入院时查:T36.8℃,P90,R20,BP100/70,一般情况稍差,轻度脱水貌,心肺腹(一),右上肢、右腋下及肩部明显肿胀,见广泛青紫色的瘀血斑,散在大、小不等的张力性水泡。右腕部掌侧可见一长约0.5厘米表浅的皮肤裂口,阵发性双手震颤。实验
Our hospital in August 1986, admitted to a case of synthetic pyrethroid poisoning, died of rescue invalid. The report is as follows: Fang × ×, male, 44 years old, farmer, sprained right upper limb swelling pain 8 days after admission. Eight days before admission, the pyrethroid pesticide was sprayed in the paddy fields. The upper extremities were exposed and the right wrist was cut by a leaflet. Night bare skin itching at the next day wound around the swelling, later gradually spread to the right shoulder, severe pain. Two days before admission, the oral and nasal secretions increased significantly, sweating, oliguria, thirst, fatigue, fever, both hands with tremor, previous physical health, admission check: T90.8, P90, R20, BP100 / 70 , The general situation is slightly worse, mild dehydration appearance, cardiopulmonary abdomen (a), right upper limb, right underarm and shoulder obvious swelling, see the vast bruise bruise spot, scattered in large and small tension blisters. The right wrist can be seen on the palm side of a 0.5 cm superficial skin tears, paroxysmal hands tremor. experiment