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本文统计分析了本院内科1972年6月至1982年6月住院的469例急性有机磷农药中毒病例,着重介绍抢救体会如下。 一、切断毒源和洗胃 经皮肤或呼吸道中毒者,应立即脱离中毒现场,尽快用稀肥皂水或清水彻底清洗身体上一切被有机磷农药沾染的部位。口服中毒者应及早催吐、洗胃和导泻。 洗胃是经口中毒者抢救成败的关键。洗胃越早越快越彻底越好,不应受6小时生理排空时限的限制。我们曾对2例口服乐果后已经24小时的患者洗胃,仍可从胃管内抽出充满蒜臭味的乳白色液体。从本组病例看,凡处理和洗胃及时,绝大部分病例均能在短期内治愈。
This article statistically analyzed 469 cases of acute organophosphorus pesticide poisoning hospitalized in our hospital from June 1972 to June 1982, focusing on the rescue experience as follows. First, cut off the source of poison and gastric lavage by the skin or respiratory tract poisoning, should immediately from the poisoning scene, as soon as possible with dilute soapy water or water to thoroughly clean the body of all organophosphate pesticide contaminated parts. Oral poisoning should promptly induce vomiting, gastric lavage and catharsis. Gastric lavage is the key to the success or failure of oral poisoning. The sooner the gastric lavage, the faster the more thorough the better, should not be limited by the 6-hour physiological emptying time limit. We had gastric lavage in patients who had been taking dimethoate for 24 hours after oral administration, and were still able to extract garlic-smelling milky liquid from the stomach tube. From this group of patients to see, where treatment and gastric lavage promptly, the vast majority of cases can be cured in the short term.