我院于1990年2月至1995年5月抢救2例重症有机磷农药中毒病人,反复插胃管失败或虽插管成功,但因胃内容物太多、太稠,堵塞胃管,在反复抽取洗胃极不满意的危急情况下,行剖腹洗胃,病人转危为安。现报告如下。1 临床资料 例1,女,30岁,农民,已婚。因家庭口角纠纷,服甲胺磷40ml,40分钟后急诊入院。入院时患者深昏迷,压眶反射极迟钝,瞳孔缩小约1mm,对光反应极迟钝;口中分泌物多,蒜臭味明显;皮肤湿润,脉搏56次/分,两肺满布痰鸣音及湿啰音,呼吸急促,深浅反射消失或迟钝。血胆碱酯酶活性测定为“0”,血压 Our hospital in February 1990 to May 1995 to rescue 2 cases of severe organophosphorus pesticide poisoning patients repeatedly failed to insert the tube or despite successful intubation, but too much stomach content, too thick, plug the stomach, in the repeated Extraction of gastric lavage is not satisfied with the critical situation, the line caesarean laparotomy, the patient turned critically. The report is as follows. 1 clinical data example 1, female, 30 years old, farmer, married. Due to family disputes, taking methamidophos 40ml, 40 minutes after emergency admission. Patients admitted to the hospital deep coma, orbital reflex very slow pupil shrinkage of about 1mm, very slow response to light; mouth secretions and more obvious garlic odor; skin moist, pulse 56 beats / min, lungs covered with phlegm and Wet rales, shortness of breath, depth of reflection disappear or slow. Blood cholinesterase activity was measured as “0” and blood pressure