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口服有机磷农药中毒并发上消化道出血者,预后多凶险,抢救成功率与就诊早晚、出血原因、救治措施有密切关系.我院自1981年1月～1990年12月共收治急性有机磷农药中毒112例,并发有上消化道出血23例(占20.5%);23例中有7例(占30.4%)因服毒量大,就诊晚及治疗方法不当死亡.余16例在病人神志清楚,无休克昏迷时行急诊胃镜检查明确了出血原因.其中急性胃粘膜病变5例(31.3%);胃粘膜机械损伤3例(1.7%);食管贲门粘膜撕裂症2例(12.5%).诱发原有肾十二指肠病变出血6例(37.5%).(胃溃疡1例,慢性胃炎3例;十二指肠球部溃疡2例).现举例分析如下.
Oral organophosphorus pesticide poisoning complicated by upper gastrointestinal bleeding, prognosis and more dangerous, the success rate of rescue and treatment sooner or later, causes of bleeding, treatment are closely related to our hospital from January 1981 to December 1990 were treated acute organophosphate pesticides Poisoning in 112 cases, complicated by upper gastrointestinal bleeding in 23 cases (20.5%); 23 cases in 7 cases (30.4%) due to taking a large amount of drugs, treatment late and improper treatment of death.Over the remaining 16 cases in the patient consciousness, In the absence of shock, emergency gastroscopy confirmed the cause of bleeding, including 5 cases of acute gastric mucosal lesions (31.3%), 3 cases of gastric mucosal mechanical injury (1.7%), and 2 cases of esophageal and gastric cardial mucosal tears (12.5%). The original renal duodenal disease hemorrhage in 6 cases (37.5%). (Gastric ulcer in 1 case, chronic gastritis in 3 cases; Duodenal ulcer in 2 cases.) The following is an example analysis.