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自1983年1月至1984年6月底,我科在抢救重度有机磷农药中毒中,对12例危重患者采用了换血疗法,效果较满意,现报告如下。临床资料病例选择重度有机磷农药中毒,符合下列条件之一的予以换血疗法。1.经常规治疗(包括清除毒物、对症处理、用足量胆碱酯酶复能剂和阿托品)1～2天而呼吸衰竭或昏迷无改善,且胆碱酯酶活力重度减低不回升。2.常规治疗3天后中毒症状消失或基本消失,但呈阿托品依赖现象,每小时须维持在30
From January 1983 to the end of June 1984, our department in the rescue of severe organophosphorus pesticide poisoning, the 12 cases of critically ill patients with transfusion therapy, the effect is more satisfactory, are as follows. Clinical data Case selection Severe organophosphorus pesticide poisoning, in line with one of the following conditions to be transfusion therapy. 1. Conventional treatment (including the removal of poison, symptomatic treatment, with adequate cholinesterase agent and atropine) 1 to 2 days without improvement of respiratory failure or coma, and severe decrease in cholinesterase activity does not rise. 2. After 3 days of routine treatment symptoms of poisoning disappeared or disappeared, but was atropine dependence, the hourly rate must be maintained at 30