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(27野战医院王怡)【答】正确使用阿托品应注意以下几点:(1)早期应用:一旦发现有机磷中毒患者,应根据中毒途径及程度立即应用阿托品,拖延给药会影响疗效和预后。(2)用量要充分:所谓阿托品化,是在严密细致的观察下短时间内连续应用以达到最大疗效而又避免过量中毒的原则。剂量:轻度中毒用阿托品1~2mg 皮下注射;中度中毒用阿托品5~10mg 静脉注射;重症中毒用阿托品10~20mg 或更大剂量静脉注射,以后根据病情随时给药。(3)反复给药以巩固疗效,给药持续时间视病情而定。(4)警惕
(27 field hospital Wang Yi) [Answer] The proper use of atropine should note the following: (1) early application: once found in patients with organophosphate poisoning, should be based on the route of poisoning and the degree of the immediate application of atropine, delayed drug delivery will affect the efficacy and prognosis . (2) the amount to be fully: The so-called atropine, is a close and detailed observation of the short-term continuous application in order to achieve the maximum effect while avoiding excessive poisoning principle. Dosage: mild poisoning with atropine 1 ~ 2mg subcutaneous injection; moderate poisoning with atropine 5 ~ 10mg intravenous injection; severe poisoning with atropine 10 ~ 20mg or more dose intravenous injection later according to the disease at any time. (3) repeated administration to consolidate the efficacy, duration of administration depending on the condition may be. (4) Be wary