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近年来抢救有机磷中毒成功率大有提高,但仍存某些薄弱环节,笔者在临床工作中所发现的几个容易被忽视的问题,予以提出,供临床工作者参考。1 洗胃不可采用口服法(催吐法)中毒或服毒者在开始阶段神志一般是清楚的,有的甚可自述病史,此时医生若失警觉,误为病情轻浅或图省事而取口服法洗胃,则易铸成大错。因口服洗胃或催吐是逆生理的,病人处于对抗或自护状态,根本不可能很好合作,故很难将胃中毒物洗尽排出。何况口服洗胃耗时费事,容易延误抢救时间。正确的方法是:尽早、尽快、反复、彻底洗胃,一律插管进行,亦可用洗胃机。并应洗至注入液与洗出液颜色一致、无食物残
In recent years, the success rate of salvage organophosphate poisoning greatly improved, but still some weak links, the author found in the clinical work of several easily overlooked issues to be proposed for clinical reference. 1 gastric lavage can not be used oral method (vomiting) poisoning or poisoning in the initial stages of consciousness is generally clear, and some even readme history, then the doctor if the alarm, mistaken for light illness or save the way and take oral Gastric lavage, it is easy to cast a big mistake. Due to oral gastric lavage or vomiting is inversely physiological, the patient is confrontational or self-care status, it is impossible to cooperate well, it is difficult to wash out gastric poisoning exhausted. Moreover, oral gastric lavage is time-consuming and easy to delay the rescue time. The correct method is: as soon as possible, repeated, thoroughly, gastric lavage, all intubation, gastric lavage can also be used. And should be washed until the injection solution and eluate the same color, no food residue