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本文男11例女7例。年龄2月～3岁。经呼吸道和皮肤吸收中毒者14例,误服中毒者4例,病史短者2小时,长者72小时。临床误诊为肺炎7例,休克4例、消化不良3例、脑炎4例。所有病儿经阿托品等及时治疗痊愈出院。本文均系接触农药被污染的衣物或玩具后发生,病史不详,症状不典型,常易误诊,影响预后。作者认为详细的询问病史很重要。特别在使用农药期间,应高度警惕婴幼儿有机磷中毒的发生。中毒发生后除了及时正确的常规抢救外,阿托品剂量宜以小剂量连续应用为宜。轻度中毒0.02～0.03mg/kg/次,肌注;中度0.03～0.05mg/kg/次,静推;而重度0.05～0.1mg/kg/次,静推。达阿托品化后,逐渐减量,先改为肌注,然后停药,疗程7～10天。应用解磷定轻度中毒15mg/kg/次,中度15～30mg/kg/次,重度30
This male and 11 cases of female 7 cases. Age from February to 3 years old. In the respiratory and skin absorption poisoning in 14 cases, 4 cases of poisoning poisoning, a short history of 2 hours, the elderly 72 hours. Clinical misdiagnosed as pneumonia in 7 cases, shock in 4 cases, dyspepsia in 3 cases, 4 cases of encephalitis. All sick children by atropine and other timely treatment and discharged. This article are all contact with pesticide contaminated clothing or toys after the occurrence of unknown history, atypical symptoms, often misdiagnosed, affect the prognosis. The author thinks it is important to ask for a detailed medical history. Especially during the use of pesticides, should be highly vigilant infant and child organophosphate poisoning. In addition to promptly after the onset of poisoning routine rescue, atropine dose should be continuous application of small doses is appropriate. Mild poisoning 0.02 ~ 0.03mg / kg / time, intramuscular injection; moderate 0.03 ~ 0.05mg / kg / time, push; and severe 0.05 ~ 0.1mg / kg / time, push. After diatomization, gradually tapering, first changed to intramuscular injection, and then withdrawal, treatment 7 to 10 days. Application of phosphate solution should be given mild poisoning 15mg / kg / time, moderate 15 ~ 30mg / kg / time, severe 30