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我院自1983～1986年共收治婴幼儿有机磷中毒34例,其中误诊24例,占72%。误诊的24例中3天～1岁者19例,～3岁者5例;通过皮肤接触中毒的13例,呼吸道吸入中毒的9例,经口中毒的仅2例;误诊的疾病有:上感(1例)、支气管炎(6例)、肺炎(3例)、肠炎(8例)、乙脑(1例)、毒痢(1例)、低钙(1例)、输液反应(1例)、其它(1例);临床表现中除具有与误诊疾病相关的症状外,往往还有嗜睡或昏迷,抽搐,肌纤维震颤,或/及瞳孔缩小。
In our hospital from 1983 to 1986, a total of 34 infants and children with organophosphate poisoning, of which 24 were misdiagnosed, accounting for 72%. Twenty-four cases were misdiagnosed in 19 cases of 3 days to 1 year old and 5 cases of ~ 3 years old. Thirteen cases of skin contact poisoning, 9 cases of respiratory poisoning and only 2 cases of oral poisoning were diagnosed. (1 case), bronchitis (6 cases), pneumonia (3 cases), enteritis (8 cases), JE (1 case), poison dysentery (1 case), hypocalcemia (1 case) Cases), others (1 case); clinical manifestations in addition to misdiagnosis of the disease-related symptoms, there are often drowsiness or coma, convulsions, muscle fiber tremor, and / or miosis.