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有机磷中毒的表现复杂多变,诊断是一个易中有难的问题.如何即刻作出正确诊断,争取抢救时机,是临床上一项关键性问题.现就我们的体会谈几点认识:一、详细询问有机磷农药的接触史,是确定诊断的重要依据.通过呼吸道吸入、皮肤吸收及口服自杀中毒者诊断并不甚难.应当注意的是,将该类药物用来洗头、洗衣灭虱,病人就诊时虽有典型中毒表现,但询问不出有关的接触史,尤其是小儿更易忽视.家属往往经医务人员提示才想起数天前用 DDV 洗过患者穿的衣服.我们曾遇到一例经静脉滴注“1605”(他杀)引起中毒者,这类中毒病史不易及时获得.因此,对可疑中毒者,不能轻信患者或护送者的否定.特别对外院转来的病人,一定要详细了解既往治疗情况.因阿托品及胆硷脂酶复能剂
The performance of organophosphate poisoning is complex and changeable, the diagnosis is a difficult problem.How to make the right diagnosis right now and strive for the rescue opportunity is a clinically a key issue.Now we experience a few points to recognize: First, It is not difficult to diagnose organophosphate pesticide exposure through respiratory exposure, skin absorption and oral suicide poisoning.It should be noted that such drugs are used to shampoo, wash and disinfect pests , Although the patient at the time of treatment typical poisoning performance, but can not ask about the history of exposure, especially in children more easily ignored.Related to medical staff often reminded only a few days ago DDV washed patients wearing clothes.We have encountered an example The intravenous infusion of “1605” (him kill) caused by poisoning, such poisoning history is not easy to get in. Therefore, the suspicious poisoning, patients can not be credulous or negligent escort. In particular, the hospital transferred to the patient, we must learn more about Past treatment due to atropine and cholinesterase agents