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本文分析有机磷农药中毒致呼吸衰竭86例。死亡率甚高,除有机磷本身毒性作用外,主要有认识不足,处理不当,洗胃不彻底,阿托品不足与过量等原因。近年来随认识提高,洗胃机的广泛应用,新型解毒药问世,急性呼衰减少,迟发性呼衰及各种并发症增多,给临床带来新的问题。本文就呼衰原因,发病机制及诊治作初步探讨。认为及时彻底洗胃是口服中毒者抢救成功的关键。阿托品的用量,在严密观察基础上,既要大胆,又要谨慎。详细分析病情。急性或
This article analyzes 86 cases of respiratory failure caused by organophosphorus pesticide poisoning. The mortality rate is very high. In addition to the toxic effects of organophosphorus itself, there are mainly lack of understanding, improper handling, incomplete gastric lavage, insufficient and excessive atropine and other reasons. In recent years, with increasing awareness, the extensive application of gastric lavage machine, the advent of new antidotes, acute respiratory failure, delayed respiratory failure and a variety of complications increased, to clinical new problems. This article on respiratory failure, pathogenesis and diagnosis and treatment for a preliminary discussion. The prompt and thorough gastric lavage is the key to the success of oral poisoning. Atropine dosage, on the basis of close observation, it is necessary to be bold, but also cautious. Detailed analysis of the disease. Acute or