1 临床资料患者,女,50岁,农民。于2000年5月12日自杀口服甲胺磷 100 ml左右,随即出现神志不清,口角流涎。1小时左右送附近医院就诊,先后2次(当日上午10时及下午4时)用简易漏斗法洗胃,即从带漏斗洗胃管灌注清水500～1000 ml,然后刺激咽部催吐;再灌注清水催吐,如此反复,共用洗胃液 10 000 ml左右。同时用大剂量阿托品(5月12日～5月13日24小时共用 592 mg)及解磷定1.0 g。于 5月 12日下午出现腹胀,晚上9 1 clinical data patients, female, 50 years old, farmer. In May 12, 2000 suicide oral methamidophos 100 ml or so, then appeared unconscious, mouth salivation. 1 hour or so to the nearest hospital for treatment, has 2 times (10 am and 4 pm the same day) with simple funnel gastric lavage, that is, with funnel gastric lavage 500 ~ 1000 ml water infusion, and then stimulate the pharyngeal emetic; reperfusion Water emetic, so repeatedly, sharing gastric lavage 10 000 ml or so. At the same time with a large dose of atropine (May 12 ~ May 13, 24 hours sharing 592 mg) and phosphorus solution of 1.0 g. Bloating on the afternoon of May 12, 9 at night