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有机磷农药目前在我国广泛应用,一般中毒致死多系误用、误食。关于农药失火造成烧伤中毒致死者报道不多。由于马拉硫磷农药中毒合并严重烧伤致死的尸检材料更为少见。现将遇到1例报告如下。患者贾××,男,22岁,化工厂工人,在抢救工厂马拉硫磷热液倾泻时。患者冲进去关电闸,致农药热液溅身后电火花引燃起火造成大面积烧伤入院。住院期间病人一直陷入昏迷状态,进行抗休克,使用“解磷定”等药,局部清洗及气管切开术等处理。术后反复出现消化道出血,伴咖啡色呕吐物,柏油样便等,经抢救治疗无效,最后呼吸心跳停止而死。入院
Organophosphorus pesticides are widely used in our country at present, and poisoning is often caused by multiple poisonings. Pesticide poisoning caused by burn poisoning few reported. Autopsy material that is fatal due to malathion pesticide poisoning combined with severe burns is even more rare. Now encounter a case report as follows. Patient Jia × ×, male, 22 years old, a chemical factory worker at the rescue plant when Malathion was hydrothermally pouring. The patient rushed to the gate, resulting in pesticide splashed fire spark ignition caused a large area hospitalized. During hospitalization, the patient has been in a coma for anti-shock, using “Phosphate-Fixing” and other drugs, local cleaning and tracheotomy. Repeated gastrointestinal bleeding after surgery, with brown vomit, tarry, etc., after rescue treatment is invalid, and finally died of respiratory arrest. Admission