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近年来有机磷中毒的误诊病例有所增加,尤其非生产性皮肤接触吸收所致的亚急性中毒更易误诊。本院收治因灭虱所致亚急性中毒15例,其中9例在外院及入本院被误诊为一种或多种疾病。15例中男性12例,女性3例。年龄2～48岁。其中敌敌畏中毒10例,马拉硫磷中毒4例,1605中毒1例。临床分级:轻度中毒10例,中度中毒3例,重度中毒2例。误诊病种达10种之多,误诊时间短者2小时,长者达5天之久。经治疗痊愈14例,死亡1例。亚急性有机磷中毒之所以易被误诊,主要有以下原因:
In recent years, misdiagnosis of organophosphate poisoning cases have increased, in particular, non-productive skin contact absorption caused by subacute poisoning more easily misdiagnosed. In our hospital, 15 cases of subacute poisoning caused by ticks were treated, of which 9 cases were misdiagnosed as one or more diseases in the outer court and in our hospital. In 15 cases, there were 12 males and 3 females. Age 2 to 48 years old. Among them, 10 were dichlorvos poisoning, 4 were malathion and 1 was poisoning by 1605 poisoning. Clinical grade: mild poisoning in 10 cases, moderate poisoning in 3 cases, severe poisoning in 2 cases. Misdiagnosed as many as 10 kinds of diseases, misdiagnosis time is short 2 hours, the elderly up to 5 days. After treatment cured in 14 cases, 1 died. Subacute organophosphate poisoning is easily misdiagnosed, mainly for the following reasons: