在有机磷中毒抢救过程中,常可见到特殊表现的患者,其中又以沉默型阿托品中毒(即无典型症状的阿托品中毒)和上消化道大出血较常见,并且是目前临床大夫普遍认为较难判断、处理的两种情况。为便于临床工作,本文谈一些诊疗体会。 1 临床资料 我院1985～1993年收治有机磷中毒病人163例,救治过程中出现沉默型阿托品中毒21例(占 In the process of organophosphorus poisoning rescue, often can see the special performance of patients, which in turn silent atropine poisoning (ie, without typical symptoms of atropine poisoning) and upper gastrointestinal bleeding are more common, and is now generally considered difficult to judge clinical doctors , Dealing with both cases. In order to facilitate clinical work, this article talk about some experience of diagnosis and treatment. 1 clinical data in our hospital from 1985 to 1993 were treated 163 cases of organophosphate poisoning, treatment of silent type atropine occurred in 21 cases (accounting for