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1984年7月我院抢救一例口服“3911”中毒患者,病程中曾出现昏迷、呼吸衰竭、心脏骤停、肺水肿等严重并发症,经过9天的抢救病人痊愈,现从护理角度谈谈抢救时洗胃的体会。过去认为中毒病人超过4小时就不必洗胃,本例服毒后6小时胃液中仍有较浓的有机磷臭味。因此,我们认为凡口服中毒即使超过12小时,不管服量多少,只要病情没有好转均应常规洗胃。洗胃液选择也很重要,凡口服乙硫磷、马拉硫磷、倍硫磷、3911、1605、1059、甲基1059、杀螟松、久效磷、苯硫磷、亚胺硫磷、甲胺磷、二嗪农、谷硫磷等有机磷农药中毒时,禁用1:5000高锰
In our hospital in July 1984 to rescue a case of oral “3911” poisoning patients, there have been coma in the course of the disease, respiratory failure, cardiac arrest, pulmonary edema and other serious complications, after 9 days of rescue patients healed, now talk about the rescue from the perspective of nursing When gastric lavage experience. Past poisoning patients in the past that there is no need to gastric lavage more than 4 hours, 6 hours after taking poisonous gas in this case there is still a thick organophosphorus odor. Therefore, we think that oral orally if more than 12 hours, regardless of the amount of service, as long as the condition did not improve should be routine gastric lavage. Gastric wash choice is also very important, where oral ethers, malathion, fenthion, 3911, 1605, 1059, methyl 1059, fenitrothion, monocrotophos, thiophanate, Amine phosphorus, diazinon, azinphos-methyl and other organophosphate pesticide poisoning, disabled 1: 5000 high-manganese