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本文对脱离呼吸机诱发有机磷中毒反跳1例分析如下。1病历摘要男,42岁。口服“1605”300 ml 3 h于2010-08-28T20:30入院,患者3 h前自服“1605”300 ml,急送当地卫生院洗胃,给予阿托品等处理后转入我院。查体:T 37℃,P 90次/min,R 20次/min,BP 112/72 mm Hg,神志不清,浅昏迷,瞳孔3.5 mm,两肺可闻及湿性啰音,HR 90次/min,可见肌肉颤动,胆碱酯酶309 U/L(正常范围5 100~11 700)诊断为急性有机磷农药中毒,给予解磷定,阿托品,甘露醇,糖皮质激素及抗生素等治疗,住院第3天
In this paper, the respirator-induced organophosphate poisoning induced rebound in 1 case as follows. 1 medical record male, 42 years old. Oral “1605” 300 ml 3 h at 2010-08-28T20: 30 admission, patients 3 h before serving “1605” 300 ml, promptly sent to the local hospital for gastric lavage, given atropine and other treatment into our hospital . Examination: T 37 ℃, P 90 beats / min, R 20 beats / min, BP 112/72 mm Hg, confusion, shallow coma, pupil 3.5 mm, both lungs can be heard and wet rales, HR 90 times / min, visible muscle fibrillation, cholinesterase 309 U / L (normal range 5 100 ~ 11 700) was diagnosed as acute organophosphorus pesticide poisoning, given phosphate solution, atropine, mannitol, glucocorticoids and antibiotics and other treatment, hospitalization 3rd day