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我院于1979年共收治急性有机磷中毒61例,中毒途径均为口服。为了总结经验,提高疗效,特将此组病例,予以分析讨论。一、一般资料61例中,男30例,女31例。年龄分布16～20岁10例,21～25岁20例,26～30岁12例,31～35岁3例,36～40岁3例,41～45岁8例,46～50岁1例,51岁以上至65岁4例,本组病人16～45岁共56例,占总例数的91.8%,可见青壮年患者占多数。服药种类:乐果45例,敌百虫11例,敌敌畏1例,马拉硫磷1例,“1605”2例,敌百虫+乐果1例,共61例。服药量:最少10毫升,最多150毫升,30毫升以内者35例,31～60毫升8例,61～100毫升10例,101～150毫升2例,不详3例。服量在100毫升以内者53例,占87%。二、症状与体征61例病者由于进院前,多数病例已经基层卫生院或我院急诊室处理,因此,部分病例没有具备典型的有机磷中毒症状。61例病人进院时的症状、体征见(附表)。从附表可见本病进院时,以头晕、呕吐最为常见。
Our hospital in 1979 were treated 61 cases of acute organophosphate poisoning, poisoning pathways are oral. In order to summarize the experience and improve the curative effect, especially this group of patients, be analyzed and discussed. First, the general information 61 cases, 30 males and 31 females. The distribution of age was from 16 to 20 years old in 10 cases, 21 to 25 years in 20 cases, 26 to 30 years in 12 cases, 31 to 35 years in 3 cases, 36 to 40 years in 3 cases, 41 to 45 years in 8 cases, 46 to 50 years in 1 case , 51 years old to 65 years old in 4 cases, the group of patients 16 to 45 years old a total of 56 cases, accounting for 91.8% of the total number of cases, we can see the majority of young patients. Type of medication: 45 cases of dimethoate, trichlorfon in 11 cases, dichlorvos in 1 case, malathion in 1 case, “1605” in 2 cases, trichlorfon + dimethoate in 1 case, a total of 61 cases. The amount of medication: at least 10 ml, up to 150 ml, 35 cases of less than 30 ml, 31 to 60 ml in 8 cases, 61 to 100 ml in 10 cases, 101 to 150 ml in 2 cases, 3 cases unknown. Serving in less than 100 ml in 53 cases, accounting for 87%. Second, the symptoms and signs 61 cases of patients as before admission, the majority of cases have been grass-roots hospitals or our emergency room, so some cases do not have the typical symptoms of organophosphate poisoning. 61 patients admitted to the hospital when the symptoms, signs see (Schedule). From the table shows the disease admitted to the hospital, dizziness, vomiting is the most common.