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目的:探讨经皮接触小儿有机磷中毒的原因以及救护对策。方法:切断毒物接触途径,应用阿托品和胆碱酯酶复能剂解磷定,辅以呼吸系统的护理。结果:24例抢救成功,死亡2例,抢救成功率92.3%。结论:早期诊断,及时使用阿托品和胆碱酯酶复能剂解磷定是成功抢救中毒患儿的关键,对农村有机磷农药安全使用常识的宣传是预防小儿经皮接触有机磷中毒的关键。
Objective: To explore the causes of transdermal exposure to organophosphate poisoning in children and the strategy of rescue. Methods: Cut off the route of exposure to poison, use atropine and cholinesterase agent to dissolve phosphorus, supplemented by respiratory care. Results: 24 cases were successfully rescued and 2 died. The success rate of rescue was 92.3%. Conclusion: Early diagnosis and timely use of atropine and cholinesterase agent for the solution of phosphorus is the key to the successful rescue of children with poisoning. The publicity on the common use of safe organophosphorus pesticide in rural areas is the key to prevent transdermal exposure to organophosphate poisoning in children.