有机磷农药中毒是基层医院常见的急症,重度中毒患者病死率高。我院于2012年8月收治1例口服大量剧毒类有机磷农药合并普萘洛尔(心得安)、奋乃静中毒患者,经积极抢救治疗,取得满意的疗效,国内外类似报道罕见。1病例简介患者,女,49岁,于2012-08-10因家庭纠纷自服剧毒类有机磷1605农药500 ml,约半小时后被家人发现急送我院。途中出现口吐白沫,大小便失禁,抽搐,大汗淋漓,呕吐两次,为少量农药。既住史:10年前有神经分裂症病史、在精 Organophosphorus pesticide poisoning is a common emergency in primary hospitals, and patients with severe poisoning have a high case fatality rate. In our hospital in August 2012 admitted a large oral toxicity of organophosphate pesticides combined with propranolol (propranolol), perphenazine poisoning patients, the active rescue treatment, and achieved satisfactory results, similar reports at home and abroad rare. 1 Case Profile Patients, Female, 49 years old, from 2012-08-10 Family disputes Own service Poisonous organophosphorus 1605 Pesticide 500 ml, about half an hour later was found to be urgently sent to our hospital. On the way there is foaming on the mouth, incontinence, convulsions, sweating, vomiting twice, for a small amount of pesticides. Living history: a history of schizophrenia 10 years ago, in essence