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有机磷农药中毒在急性的胆碱能危象之后,迟发性多发神经病变(OPIDP,Organoph Osphate Indnced Delayed Polyneuropathy)或简称DN(Delayed (?)europathv)之前,常有已恢复的患者发生意外突然死亡,其中一部分是由于肌无力(颈肌、上肢肌、呼吸肌及颅神经支配的肌肉瘫痪)引起呼吸衰竭致死。1987年斯里兰卡报道一批病例,提出了中间综合征(INTERMEDIATE SYNDRDME,简写IMS)国内朱明钦等曾报道过2例,现将本院所遇6例IMS所致呼吸衰竭分析如下。 1 临床资料 1.1 一般资料 女4例,男2例。年龄27～55岁(平均38.5岁),口服氧化乐果5例,1605 1例,20ml 2例,>30ml 4例,空腹5例,餐后1例,服毒后就诊时间:2～16小时,平均10小时,切开洗胃1例。
Organophosphorus pesticide poisoning often occurs in patients who have recovered after an acute cholinergic crisis followed by OPIDP (Organophical Osteopathic Delayed Polyneuropathy) or DN (Delayed (?) Europathv) One of the causes of death is death from respiratory failure due to muscle weakness (muscle weakness in the muscles of the neck, upper limb, respiratory and cranial nerves). In 1987, a group of cases were reported in Sri Lanka, and two cases were reported in the country such as INTERMEDIATE SYNDRDME (abbreviated as IMS). Now six cases of IMS-induced respiratory failure in our hospital are analyzed as follows. 1 Clinical data 1.1 General information Female 4 cases, 2 males. Aged 27-55 years (average 38.5 years), omethoate orally in 5 cases, 1605 cases in 1 case, 20ml in 2 cases,> 30ml in 4 cases, fasting in 5 cases and postprandial in 1 case. After taking the drug, the treatment time ranged from 2 to 16 hours, An average of 10 hours, incision gastric lavage in 1 case.