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在急诊科临床工作中,经常会遇到部分有机磷中毒病人在来院时就已死亡或濒临死亡,失去了抢救机会。我院自1980~1996年共收治有机磷中毒患者171人,死亡20人,其中来院前死亡3人,来院10分钟死亡1人,超过10分以上但经积极抢救治疗无效死亡4人。院前急救至关重要,现将我院体会报告如下。 院前死亡的原因:①服毒量大,又未能及时排除毒物。②服用均为高毒类有机磷。(如乐果、敌敌畏等)。③未能及时应用特效解毒剂。④未能及时发现,或距离医院较远。
In the emergency department clinical work, often encounter some patients with organophosphate poisoning to the hospital when they have died or are dying, lost the chance of rescue. In our hospital from 1980 to 1996 were treated a total of 171 patients with organophosphate poisoning, 20 were dead, of which 3 were hospitalized before death to the hospital 10 minutes to death 1, more than 10 points or more, but after active rescue treatment ineffective death of 4 people. Prehospital emergency is essential, now my hospital experience report as follows. Pre-hospital death reasons: ① taking a large amount of poison, but also failed to promptly rule out the poison. ② taking high toxic organic phosphorus. (Such as dimethoate, dichlorvos, etc.). ③ failed to apply special effects antidote. ④ failed to find out, or far away from the hospital.