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慢性有机磷中毒容易误诊,我院近5年收治13例,其中误诊11例,现分析如下: 临床资料男9例,女2例。年龄14～62岁。误诊为神经衰弱4例,血管神经性头痛2例,慢性肠炎、散发性脑炎、甲状腺机能亢进症、内耳眩晕症及周围神经炎各1例。血液胆碱脂酶活力测定(下称chE,正常值>80％)<50％者2例,50～60％者6例,70％者3例。中毒方式:经常喷洒农药的4例,用敌百虫化水治疗头癣的4例,经常喷酒农药蔬菜的2例,内服敌百虫驱肠虫的1例。讨论慢性有机磷农药中毒时,因病人接触毒物史隐
Chronic organophosphate poisoning easily misdiagnosed, our hospital received nearly 13 cases in 5 years, of which 11 were misdiagnosed, are as follows: Clinical data of 9 males and 2 females. Age 14 ~ 62 years old. Misdiagnosed as neurasthenia in 4 cases, 2 cases of vascular neuropathic headache, chronic enteritis, sporadic encephalitis, hyperthyroidism, inner ear vertigo and peripheral neuritis in 1 case. Blood cholinesterase activity (hereinafter referred to as chE, normal> 80%) were less than 50% in 2 cases, 50 to 60% in 6 cases, 70% in 3 cases. Poisoning methods: 4 cases of pesticide often sprayed, 4 cases of trichomoniasis treated with trichlorfon and water, 2 cases of pesticide vegetable often sprinkled, 1 case of oral insecticide and dipterex. Discussion of chronic organophosphorus pesticide poisoning, due to exposure to poison patients history of implicit