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口服有机磷农药中毒居内科各种中毒之首,死亡率可高达20%以上,且多为青壮年。虽国内文献已有大量报道,但笔者在会诊和临床带教中发现对此抢救仍存在一些问题,现结合文献讨论如下。一、诊断上的失误由于询问病史和查体不细,对中毒程度分类标准不清,对病情发展估计不足,或对其严重并发症认识不够,使诊断失误、治疗不当。如1.漏诊其它致病因素,
Oral organophosphorus pesticide poisoning ranks first in various medical poisoning, the mortality rate can be as high as 20% or more, and mostly young adults. Although a large number of domestic literature has been reported, but the author found in the consultation and clinical teaching of this rescue there are still some problems, are combined with the literature discussed below. First, the diagnosis of mistakes As a result of inquiry history and check the body is not fine, the classification of toxic levels unclear, underestimated the condition of the disease, or lack of understanding of its serious complications, the diagnosis error, improper treatment. Such as 1. missed diagnosis of other risk factors,