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保棉丰农药是近年来我国使用广泛的一种高效有机磷农药,其毒性吸收速度及中毒程度亦大于其它常用有机磷农药,而且皮肤易于吸收。现就抢救102例保棉丰皮肤中毒的体会报道如下.一、基本情况:102例中男82例,女20例.15~25岁40例,26~35岁33例,36~45岁21例,46~60岁8例。头晕、发冷、恶心28例,寒战、瞳孔缩小44例,烦躁、意识朦胧25例,呼吸衰竭4例,呼吸循环衰竭1例.二、抢救情况:1、入院后立即换掉被污染衣物,用温水或肥皂温水反复清洗皮肤达到无味为止.2、快速应用解磷定(或氯磷定),首次1~1.5克,用10~25%葡萄糖20毫升稀释后缓慢静脉推注,然后用1.5~2克加入5~10%葡萄糖500毫升中静滴(此为基本用量),病情重可适当增加用
Paul cotton abundance of cotton is widely used in China in recent years, a highly efficient organophosphorus pesticide, its toxic absorption rate and the degree of poisoning is also greater than other commonly used organophosphorus pesticides, and the skin is easy to absorb. Now on the rescue of 102 cases of cotton abundance skin poisoning reported as follows: First, the basic situation: 102 cases of 82 males and 20 females .15 to 25 years old in 40 cases, 26 to 35 years in 33 cases, 36 to 45 years old 21 Cases, 46 to 60 years old in 8 cases. Dizziness, chills, nausea in 28 cases, chills, miosis in 44 cases, irritability, confusion in consciousness in 25 cases, respiratory failure in 4 cases, respiratory failure in 1. Second, the rescue: 1, immediately after admission to get rid of contaminated clothing, With warm water or soap repeatedly wash the skin odorless so far .2, rapid application of Phosphorus (or chlorpheniramine determination), the first 1 to 1.5 grams, with 10 to 25% glucose 20 ml diluted intravenous injection slowly, and then 1.5 ~ 2 grams added 5 ~ 10% glucose in 500 ml of intravenous infusion (this is the basic amount), the disease may be appropriate to increase the use of