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本文对30例严重有机磷农药中毒患者的心电图进行分析,并初探心肌损害原因和临床意义.l 临床资料1.l 一般资料 按1974年部颁标准,诊断重度有机磷农药中毒30例,其中男12例,女18例,年龄13～46岁,平均年龄26岁.1.2 农药种类与中毒途径 乐果、氧化乐果各6例,敌敌畏5例,马拉硫磷4例,敌百虫3例,甲胺磷、对硫磷和久效磷各2例.均为消化道中毒.1.3 治疗转归 本组经反复洗胃,应用阿托品、解磷定、激素、脱水剂、能量合剂及对症治疗,22例痊愈,8例死亡.有急性肺水肿、脑水肿、呼吸衰竭、休克、严重代谢性酸中毒、电解质紊乱、心律失常等.其中6例死于严重心脏损害.
In this paper, 30 cases of severe organophosphorus pesticide poisoning in patients with electrocardiogram analysis and to explore the causes of myocardial damage and clinical significance.l clinical data 1.l general information according to the 1974 ministerial standards, the diagnosis of severe organophosphorus pesticide poisoning in 30 cases, of which male 12 cases and 18 females, aged 13 to 46 years, mean age 26 years.1.2 Pesticide species and poisoning pathway in 6 cases of dimethoate, omethoate in 5 cases, 5 cases of malathion, 3 cases of trichlorfon , Methamidophos, parathion and monocrotophos in 2 cases.All of the digestive tract poisoning.1.3 Treatment outcomeThis group after repeated gastric lavage, the application of atropine, Ph.D., hormones, dehydration agent, energy mixture and symptomatic treatment, Twenty-two patients were cured and eight died.Acute pulmonary edema, cerebral edema, respiratory failure, shock, severe metabolic acidosis, electrolyte imbalance, arrhythmia, etc. Six of them died of severe heart damage.