我院自1979年1月至1989年12月共收治急性有机磷农药中毒486例,其中死亡52例,现就死亡病例中的临床特点分析如下。 1.一般资料本组男16例,女36例,多数为农村妇女。其中乐果35例,敌敌畏8例,甲胺磷5例,敌百虫1例,乐果加甲胺磷3例。住院24小时内死亡21例,多数为48～72小时内死亡,住院1周以上死亡者3例。 2.临床特点 (1)52例中有43例处于中、深度昏迷,多数都在口服6小时以上才入院,大多数患者都无法详细追问到确切服药剂量,这部分患者可能与服药量过大,未能及时抢救有关。 (2)有38例发生肺水肿及呼吸衰竭,其中8例 Our hospital from January 1979 to December 1989 were treated 486 cases of acute organophosphorus pesticide poisoning, of which 52 died, the clinical features of death cases are as follows. 1. General Information The group of 16 males and 36 females, mostly rural women. Of which 35 cases of dimethoate, dichlorvos in 8 cases, methamidophos in 5 cases, trichlorfon in 1 case, dimethoate plus methamidophos in 3 cases. Twenty-one patients died within 24 hours of hospitalization, most of them died within 48-72 hours and 3 patients were hospitalized for more than one week. 2. Clinical features (1) 43 of 52 cases were in moderate and deep coma, most of them were admitted to the hospital for more than 6 hours after oral administration. Most patients were unable to ask in detail about the exact dose, which may be related to the excessive dosage , Failed to rescue in time. (2) There are 38 cases of pulmonary edema and respiratory failure, of which 8 cases