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目的 :探讨急性氰戊菊酯中毒的临床特点及诊治。方法 :对 42例氰戊菊酯急性中毒者的临床资料进行回顾性分析。结果 :90 %的患者以头晕痛、乏力为首发症状、流涎、手足徐动为主要特征 ;自服中毒为主要中毒原因 (5 2 % ) ,罕见肌注中毒 ;年轻女性为中毒高发群 (5 5 % ) ;明确的毒物接触史为主要诊断依据。结论 :加强农药的使用管理 ,提高易感人群的心理素质 ,正确指导菜农安全用药 ,加强乡村医生的管理 ,是防治氰戊菊酯中毒的重要环节。
Objective: To investigate the clinical features and diagnosis and treatment of acute fenvalerate poisoning. Methods: The clinical data of 42 cases of fenvalerate acute poisoning were retrospectively analyzed. Results: Dizziness and fatigue were the main symptoms in 90% of the patients. The most common symptom was salivation and hand-foot-and-arm movements. Self-serving poisoning was the main cause of poisoning (52%) and rare intramuscular injection. 5%); a clear history of exposure to poison as the main basis for diagnosis. Conclusion: It is an important step in the prevention and control of fenvalerate poisoning to strengthen the use and management of pesticides, improve the psychological quality of susceptible people, guide the vegetable farmers safely and correctly and strengthen the management of rural doctors.