论文部分内容阅读
近年来,有机磷中毒的误诊病例不断增加,尤其非生产性皮肤接触及间接食用被农药污染的水果所致亚急性中毒者更易误诊。我们曾误诊3例,现报告如下。病例摘要例1:男,38岁。因发热、呕吐、腹泻6小时,于1990年8月20日收住急诊科。查体:体温38.1℃,脉搏80次/分,呼吸22次/分,血压15.0/9.3kPa,神志清,颈软,双肺闻及干湿性罗音,心律齐,全腹均压痛,无反跳痛,肝脾未及。实验室检查:血白细胞11×10~9/L,中性0.75,淋巴0.20,尿常规:蛋白、细胞
In recent years, cases of misdiagnosis of organophosphate poisoning have been on the rise. In particular, subacute poisonings caused by non-productive skin contact and indirect consumption of pesticide-contaminated fruits are more easily misdiagnosed. We have misdiagnosed 3 cases, are as follows. Case Summary Example 1: Male, 38 years old. Due to fever, vomiting, diarrhea 6 hours, August 20, 1990 admitted to the emergency department. Physical examination: body temperature 38.1 ℃, pulse 80 beats / min, breathing 22 beats / min, blood pressure 15.0 / 9.3kPa, clear consciousness, neck soft, lung smell and wet and dry rales, heart Qi Qi, Rebound pain, liver and spleen not yet. Laboratory tests: white blood cells 11 × 10 ~ 9 / L, neutral 0.75, lymph 0.20, urine: protein, cells