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目的:探讨新型农药高氯-柴油中毒的治疗方法。方法:回顾性分析2011年11月收治的新型农药高氯-柴油中毒2例的临床症状、体征、实验室检查结果、治疗方法及预后。结果:2例均达到临床治愈,随访3个月未见后遗症。结论:新型农药高氯-柴油中毒可出现胆碱酯酶下降,但无有机磷中毒的M、N样改变。在综合治疗的基础上,长托宁及氯解磷定的使用有助于临床症状的改善及胆碱酯酶的恢复。
Objective: To explore the treatment of new type pesticides high chlorine - diesel poisoning. Methods: The clinical symptoms, signs, laboratory test results, treatment methods and prognosis of 2 cases of new-type pesticide high chlorine-diesel poisoning admitted in November 2011 were retrospectively analyzed. Results: Two cases achieved clinical cure. No sequelae were observed after 3 months follow-up. Conclusion: Choline esterase may be decreased in new type of pesticide with high chlorine - diesel poisoning, but there is no change of M and N in organophosphate poisoning. On the basis of comprehensive treatment, the use of penehyclidine and chlorpromazine helps to improve the clinical symptoms and recovery of cholinesterase.