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放置和拔除胃管导致呕吐窒息,临床少见。在抢救严重有机磷农药中毒过程中,我们曾遇到2例因洗胃后拔除胃管而引起呕吐导致窒息。现报告如下。例1、男性,46岁,农民因自服乐果6小时入院,查体:体温测不出,脉博82次/分,呼吸28次/分、血压12.5/10kPa,面色苍白、大汗、深昏迷、瞳孔0.1cm、双肺大量湿鸣。入院后经洗胃,阿托品等治疗,无明显好转。6小时后,再次放置胃管洗胃,加大阿托品治疗剂量。2小时后,瞳孔开大,面色转
Placement and removal of gastric tube leading to asphyxia, clinical rare. In the course of salvage of severe organophosphorus pesticide poisoning, we have encountered two cases of asphyxia caused by vomiting caused by gastric tube removal after gastric lavage. The report is as follows. Example 1, Male, 46 years old, peasants admitted to the hospital for 6 hours due to self-administration of dimethoate, physical examination: temperature can not be measured, pulse Bo 82 / min, breathing 28 beats / min, blood pressure 12.5 / 10kPa, pale, sweating, Deep coma, pupil 0.1cm, a large number of lung wet mute. After admission by gastric lavage, atropine treatment, no significant improvement. 6 hours later, stomach gastric lavage again, increase the dose of atropine treatment. 2 hours later, the pupil opened large, looking turned