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我院二年来共收治17例有机磷农药中毒患者,其中由于阿托品过量所致中毒性精神病发作者4例,2例为谵妄躁狂状态,1例为轻性躁狂发作,1例由于及时停药而呈轻度发作。4例均为轻、中型农药中毒成年患者,阿托品用量均在20毫克以下,2例并用解磷定。精神病症状出现的同时均伴有阿托品过量的表现:如瞳孔极度散大,面部及全身皮肤潮红等。中毒开始前都有一时的精神欣快感,表现好动(尤其是四肢),多语,旋即很快出现谵妄、躁动、哭笑无常;2例伴有意识障碍,定向力丧失,有幻觉。发病后经适当处理,均于1~2天内完全恢复。现举1例如下:患者女性,65岁,于1965年8月4日下午5时入院,患者于中午进食喷洒有1605药水的茄子,下午3时许即感有头晕、流涎、恶心,旋即呕吐数次,同时感上
A total of 17 cases of organophosphate pesticide poisoning were treated in our hospital over the past two years. Among them, 4 were toxic psychopaths due to atropine overdose, 2 were delirium, 1 were mild manic episodes, and 1 were stopped promptly Drug was mild attack. 4 cases were light, medium-sized pesticide poisoning adult patients, the amount of atropine are 20 mg or less, 2 cases and solution phosphorus. Symptoms of psychosis are accompanied by the performance of atropine overdose: If the pupil is extremely scattered, facial and whole body flushing and so on. Before the start of poisoning, there was a moment of euphoria, with good behavior (especially the extremities), multilingualism, and swift delirium, restlessness, dumbness and delirium; 2 patients with disturbance of consciousness, loss of orientation and hallucinations. After the onset of proper treatment, were completely recovered in 1 to 2 days. Here is an example as follows: The patient female, aged 65, was admitted to the hospital at 5:00 pm on August 4, 1965. The patient eaten 1605 syrup of eggplant at noon and felt dizzy, salivating, nausea and vomiting at 3 pm Several times, at the same time feeling