我院12年来共收治急性有机磷中毒529例,29例发生误诊,其中27例系经皮肤吸收中毒,占误诊病例的93.1％。由此可见皮肤吸收中毒是误诊的主要问题,现总结如下。 临床资料 一、一般资料 27例中男14例,女13例。轻度10例,中度8例,重度9例。年龄4周岁以下11例,5～16岁2例,17～60岁14例。误诊时间2～36小时(院外误诊最长4天)。造成中毒的原因:农田喷洒 In the past 12 years, 529 cases of acute organophosphorus poisoning and 29 cases of misdiagnosis have been treated in our hospital. Twenty-seven of them were absorbed through the skin and accounted for 93.1% of the cases misdiagnosed. This shows that skin absorption poisoning is the main problem misdiagnosed, are summarized as follows. Clinical data First, the general information of 27 cases, 14 males and 13 females. Mild in 10 cases, moderate in 8 cases, severe in 9 cases. Eleven patients under 4 years of age, 5 to 16 years in 2 cases, 17 to 60 years in 14 cases. Misdiagnosis time 2 ~ 36 hours (misdiagnosis of the longest 4 days outside the hospital). Cause of poisoning: Farm spraying