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一、目前阿托品化标准关于阿托品化标准问题,目前国内尚不一致,综合各家意见,大致有以下几项:①瞳孔散大;②颜面潮红、皮肤粘膜干燥;③肺湿罗音减少或消失;④心率加快;⑤意识障碍减轻或清醒;⑥轻度躁动不安。二、对阿托品化各项标准的评价在临床实践中,常可见到困个体差异等因素,个别重度有机磷中毒患者,用较小剂量阿托品即出现瞳孔散大、皮肤粘膜干燥、颜面潮红、肺部湿罗音减少或消失,而意识障碍却未见好转,继续用阿托品后,出现轻度躁动,继之清醒。有的患者,用阿托品后意识障碍减轻,而上述体征仅部分出现。如眼
First, the current standardization of atropine on the problem of atropine standard, the current domestic is not consistent, the views of each comprehensive, the following general: ① dilated pupils; ② face flushing, skin mucosa dry; ③ lung wet rales reduced or disappeared; ④ heart rate to speed up; ⑤ reduce or conscious awareness disorders; ⑥ mild restlessness. Second, the assessment of the standardization of atropine In clinical practice, often see the individual differences in sleepy and other factors, individual patients with severe organophosphate poisoning, with smaller doses of atropine that mydriasis, dry skin and mucous membranes, facial flushing, lungs Department of wet rales reduced or disappeared, but unconsciousness has not improved, continue to use atropine, there was mild agitation, followed by sober. In some patients, atropine decreased after the disturbance of consciousness, but only some of these signs. Such as eyes