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我科1970—1978年8月,共收治重症乐果中毒4例,其中3例均误服40％乐果乳剂100毫升以上,1例40毫升。4例均在服后2—3小时内就诊,均有程度不同的意识障碍及其它有机磷中毒表现。治疗采用常规高渗盐水、清水或高锰酸钾溶液洗胃,静脉大剂量注入阿托品,早期应用氯磷定,脱水剂预防脑水肿,必要时小量多次给输鲜血,抗菌素预防感染,并给予保肝药物及大剂量维生素C等综合治疗。例1、2随访3月,已参加劳动,无后遗症。例3、4随访1月,也均已参加劳动。
Our department from 1970 to 1978 August, a total of 4 cases of severe dimethoate poisoning, of which 3 were mistakenly served 40% dimethoate emulsion 100 ml or more, 1 case of 40 ml. Four patients were treated within 2-3 hours after taking the service, both to varying degrees of disturbance of consciousness and other organophosphate poisoning. Treatment with conventional hypertonic saline, gastric lavage or potassium permanganate solution, intravenous bolus injection of atropine, early application of chlorophosphorus, dehydration agent to prevent cerebral edema, if necessary, a small amount of blood transfusions, antibiotics to prevent infection and Give liver protection drugs and large doses of vitamin C and other comprehensive treatment. Cases 1,2 followed up in March, has participated in labor, no sequelae. Cases 3,4 follow-up January, have also been involved in labor.