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我院近10年共收治急性有机磷农药中毒385例,其中合并急性胰腺炎31例(8.1%),均继发于重度有机磷中毒病例.31例均为口服中毒,其中乐果中毒25例.甲胺磷中毒5例,敌敌畏中毒1例.服毒至开始抢救时间5～15小时,其中超过8小时28例.本组病例入院后均予以清水彻底洗胃,注射特效解毒剂.确诊并发胰腺炎后立即应用0.5%甲硝唑100ml和5-FU250mg静脉滴注3天,28例治愈,3例继用青霉素治疗,5天后2例治愈,1例死于多脏器功能衰竭.
In the recent 10 years, our hospital treated 385 cases of acute organophosphorus pesticide poisoning, including 31 cases (8.1%) with acute pancreatitis, all of them were secondary to severe organophosphate poisoning cases, and 31 cases were oral poisoning, of which 25 cases of dimethoate poisoning Methamidophos poisoning in 5 cases, dichlorvos poisoning in 1 case. To take the drug to start the rescue time of 5 to 15 hours, of which more than 8 hours in 28 cases .All patients were admitted to the hospital after thorough gastric lavage, injection of special antidote. Inflammatory immediately after the application of 0.5% metronidazole 100ml and 5-FU250mg intravenous infusion of 3 days, 28 cases were cured, 3 cases followed by penicillin treatment, 5 cases after 2 cases of cure, 1 case died of multiple organ failure.