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目的:分析急性有机磷农药中毒并高血糖的临床误诊原因,减少误诊率。方法:回顾性分析我院2000-02/2008-09急性有机磷农药中毒并高血糖8例误诊患者的临床资料。结果:本组8例患者治愈出院5例,死亡3例,病死率37.5%。结论:急性有机磷农药中毒是急诊常见的危重症疾病之一,临床诊断一般不难。但临床症状不典型,如并发高血糖,病史不清者极易误诊,病死率高,应引起临床医师的高度重视。
Objective: To analyze the causes of misdiagnosis of acute organophosphorus pesticide poisoning and hyperglycemia and to reduce the misdiagnosis rate. Methods: The clinical data of 8 patients with misdiagnosis of acute organophosphorus pesticide poisoning and hyperglycemia in our hospital from February 2000 to September 2008 were retrospectively analyzed. Results: The group of 8 patients were cured and discharged in 5 cases, 3 died, the fatality rate was 37.5%. Conclusion: Acute organophosphorus pesticide poisoning is one of the most critical and critical diseases in emergency. Clinical diagnosis is not difficult. However, atypical clinical symptoms, such as complicated by hyperglycemia, history is unclear easily misdiagnosed, high mortality, clinicians should arouse great attention.