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在抢救有机磷农药中毒患者时,遇到病情危重、需用药较多的情况,常出现顾此失彼,用药不当,而使患者遭到不幸的情况。本文其中易被误用的药物,做一概述,希望能对临床抢救工作有所裨益。一、有机磷农药中毒引起的肺水肿,其发病机理与毒蕈碱样作用所致的肺泡和毛细血管渗透性增强、腺体分泌增加有关。因此处理上与心血管疾病所致的肺水肿不同,禁用吗啡,慎用氨茶碱,一般不必应用洋地黄类药物。因为吗啡可抑制呼吸中枢,促发呼吸衰竭;氨茶碱可扩张血管,加重肺水肿。治疗上阿托
In the rescue of patients with organophosphate pesticide poisoning, encountered critically ill conditions, the need for more medication, often appear to care about this, improper medication, leaving patients unfortunate situation. In this paper, one of the most easily misused drugs, to make an overview, hoping to have clinical benefits to the rescue work. First, organophosphorus pesticide poisoning caused by pulmonary edema, the pathogenesis and muscarinic-like effects of alveolar and capillary permeability, increased secretion of glands. Therefore, treatment and cardiovascular disease caused by different pulmonary edema, disable morphine, caution aminophylline, digitalis generally do not have to use drugs. Because morphine can inhibit the respiratory center, promote respiratory failure; aminophylline can dilate blood vessels, aggravating pulmonary edema. Atto treatment