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有机磷农药中毒在诊治过程中有两个值得着重研讨的问题。第一,如何避免误诊一般临床医生多认为有机磷农药中毒很易诊断,实际上并非如此。误诊原因大概有以下几点:(1)毒物接触史不清。或因患者来院时昏迷,或故意隐瞒不告。(2)临床症状复杂多样,缺乏特异性,难以想到;或以某组症状最为突出,干扰视线,造成错觉。(3)皮肤接触中毒有其独特发病规律,多呈亚急性经过,常有皮疹,患者认识不到病状与以前的皮肤接触毒物之间的关系。
Organophosphorus pesticide poisoning in the diagnosis and treatment process there are two issues worth focusing on. First, how to avoid misdiagnosis Clinicians generally think that organophosphorus pesticide poisoning is easy to diagnose, in fact it is not. The reasons for misdiagnosis about the following: (1) the history of poison contact unclear. Or because of coma patients to the hospital, or deliberately hide without notice. (2) complex and diverse clinical symptoms, lack of specificity, hard to think of; or to a group of symptoms most prominent, interfere with the line of sight, resulting in delusion. (3) skin contact poisoning has its unique pathogenesis, mostly subacute, often rashes, patients do not recognize the symptoms and the previous skin contact with the relationship between poison.