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目的:探讨急性有机磷中毒反跳的原因,诊断及对策。方法:我院自2002年1月～2012年12月收住急性有机磷中毒患者87例,其中发生反跳11例。病例原因及对策进行分析。结果:87例有机磷中毒患者发生反跳者11例,占12.6%。反跳与中毒的种类、中毒的程度有关;立即清除皮肤、彻底洗胃,合理使用解毒剂,同时密切观察及时发现反跳的先兆症状,积极抢救,降低死亡率。结论:针对引起反跳的各项原因、反跳时出现的症状、体征,采用有效措施防治,在临床上可取得较好的效果。
Objective: To investigate the reason, diagnosis and countermeasure of rebound in acute organophosphate poisoning. Methods: From January 2002 to December 2012, 87 cases of acute organophosphate poisoning were admitted to our hospital, of which 11 cases rebounded. Case causes and countermeasures were analyzed. Results: In the 87 patients with organophosphate poisoning, 11 cases occurred rebound, accounting for 12.6%. Bounce and the poisoning of the type, the degree of poisoning; immediately clear the skin, gastric lavage, the rational use of antidote, and close observation and timely detection of aura symptoms of rebound, and actively rescue and reduce mortality. Conclusion: According to the causes of rebound, the symptoms and signs that occur during rebound, and the effective measures to prevent and treat it, we can achieve better results in clinic.