我科在抢救重度有机磷农药中毒时 ,在采取常规治疗的同时 ,对超过 12 h仍未达到阿托品化、临床症状加重患者 ,并用换血疗法取得了成功。现将临床体会报告如下。1　典型病例病例 1.患者女性 ,2 4岁。自服敌敌畏 15 0 m l、安定 10 0片 ,约 45 min。经急救中心洗胃、静推阿托品、 Our department in the rescue of severe organophosphorus pesticide poisoning, while taking conventional treatment at the same time, more than 12 h has not yet reached the atropinization, clinical symptoms were aggravated in patients with transfusion therapy was successful. Clinical experience now report as follows. A typical case cases 1. Patient female, 24 years old. Self-serving dichlorvos 150 m l, stable 100, about 45 min. Gastric lavage by the emergency center, static push atropine,