1984年我科收治有机磷中毒病例中有2例甲胺磷中毒引起胃穿孔,男女各一,经手术证实均胃壁穿孔,1例手术后继续解毒治愈,1例死于呼吸衰竭。我们发现中毒病程中胃穿孔的症状不典型,无腹痛,缺乏突变,易延误。故在急救过程中,特别是阿托品化的同时,应密切观察症状体征的变化,如腹胀渐加 In 1984, two cases of methamidophos poisoning caused by organophosphate poisoning in our department caused gastric perforation, one in each of men and women. Gastroscopic perforation was confirmed by surgery. One case was cured after detoxification and one case died of respiratory failure. We found that the symptoms of gastric perforation in the course of poisoning are not typical, no abdominal pain, lack of mutation, easy to delay. Therefore, in the emergency process, especially atropine at the same time, should be closely observed changes in symptoms and signs, such as abdominal distention gradually increased