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1988～1994年间,我科收治了332例急性有机磷农药中毒患者。年龄10个月～59岁,男220例,女112例,经口服中毒13例,经呼吸道及皮肤中毒219例。治愈323例,死亡9例,现将我们在抢救过程中的几点体会,总结报道如下。1 诊断 有机磷农药中毒如果病史清楚,症状体征比较明显,是不难诊断的,但有些病例,如婴幼儿患者或一些病史不详的重度昏迷病人则很易漏诊或误诊。 例1 患者女,30岁。1989年6月5日凌晨3时由其丈夫(乡村医生)送来急诊,患者重度昏迷,潮式呼吸、皮肤湿冷、口角流涎、双侧瞳孔缩小、心音低钝,双
From 1988 to 1994, our department treated 332 patients with acute organophosphorus pesticide poisoning. Aged 10 months to 59 years old, 220 males and 112 females, oral poisoning in 13 cases, 219 cases of respiratory and skin poisoning. 323 cases were cured, 9 died, now we will experience in the rescue process, summarized as follows. A diagnosis of organophosphate pesticide poisoning If the history is clear, the symptoms and signs more obvious, is not difficult to diagnose, but in some cases, such as infants and young children or some unknown history of severe coma are very easy to misdiagnosis or misdiagnosis. Example 1 Female patient, 30 years old. June 3, 1989 at 3 am by her husband (village doctor) sent an emergency, patients with severe coma, tidal breathing, cold skin, mouth salivation, bilateral miosis, low heart sound dull, double