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我院急诊中心从1983年5月至1985年12月共抢救敌敌畏中毒病人111例。其中有较完整资料的75例,加上原00453部队医院25例,现将此100例急性敌敌畏中毒报告如下: 临床资料:男20例,女80例,男女之比1:4。年龄12～72岁,其中12至30岁之间共75例。服药后来诊时间:最短15分钟,最长6小时,抢救观察时间:最短12小时,最长16天。100例中治愈98例。死亡2例。分类:轻度中毒20例,中度中毒20例,重度中毒60例。胆碱酯酶活性测定:50%以上24例,25%以下36例,肺水肿31例,休克6例,脑水肿36例,心脏骤停1例,呼吸衰竭8例,呼吸停止2例,急性肾功能哀竭2例。讨论:敌敌畏中毒较多见,占内科中毒首位。目前对该药管理不严或使用不当应提高警惕,严加控制。
Our hospital emergency center from May 1983 to December 1985 a total of 111 cases of dichlorvos poisoning rescue. Among them, there are more complete information of 75 cases, plus the original 00453 army hospital in 25 cases, the 100 cases of acute dichlorvos poisoning are reported as follows: Clinical data: 20 males and 80 females, male to female ratio of 1: 4. Aged 12 to 72 years old, of which 12 to 30 years old a total of 75 cases. After taking the medication time: the shortest 15 minutes, up to 6 hours, rescue observation time: the shortest 12 hours, up to 16 days. 98 cases were cured in 100 cases. 2 died. Category: mild poisoning in 20 cases, moderate poisoning in 20 cases, severe poisoning in 60 cases. Cholinesterase activity was measured in 24 cases of more than 50%, 36 cases of less than 25%, 31 cases of pulmonary edema, 6 cases of shock, 36 cases of cerebral edema, 1 case of cardiac arrest, 8 cases of respiratory failure, 2 cases of respiratory arrest, 2 cases of acute 2 cases of renal dysfunction. Discussion: dichlorvos poisoning more common, accounting for the first medical poisoning. At present the management of the drug lax or improper use should be vigilant and strictly controlled.