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本文对我院近几年来临床观察应用阿托品治疗重度有机磷中毒因多种因素而达不到典型阿托品化的特定征象,误导临床,而出现阿托品过量的6例病人进行分析。1 临床资料例1,男性,37岁,因自服乐果100 ml后出现神志不清,呼吸困难3小时入院。体检:T 35℃,P56次/min、R 45次/min、BP 95/45mmHg,全身皮肤潮湿,汗液较多,两侧瞳孔缩小,直径为1mm,光反射存在,口唇紫钳,口腔分泌物多、有乐果味,颈软,两肺呼吸音粗,可闻及干、湿罗音,HR 56次/
This article in our hospital in recent years, the clinical observation of atropine treatment of severe organophosphate poisoning due to a variety of factors not reach the typical signs of atropine-specific, misleading clinical, and the emergence of atropine over 6 patients were analyzed. 1 clinical data example 1, male, 37 years old, because after self-administration of dimethoate 100 ml unconsciousness, difficulty breathing 3 hours admission. Physical examination: T 35 ℃, P56 times / min, R 45 times / min, BP 95 / 45mmHg, systemic skin wet, sweat more, bilateral miosis, diameter 1mm, light reflection exists, More, there are dimethoate, neck soft, coarse breath sounds of both lungs, can be heard and dry, wet rales, HR 56 times /