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目的探讨急性有机磷中毒死亡的原因。方法回顾分析1995年1月至2005年12月急性有机磷农药中毒死亡病例68例的临床资料。结果洗胃不成功或不彻底11例,阿托品用量不足(包括早期阿托品化不理想)21例,阿托品停药过早或减量过快7例,阿托品过量中毒5例,服毒量大、中毒严重18例,治疗延误4例,猝死2例。结论洗胃不彻底,阿托品用量不足及停药过早或减量过快是急性有机磷中毒死亡的主要原因。
Objective To investigate the causes of acute organophosphate poisoning death. Methods The clinical data of 68 cases of acute organophosphorus pesticide poisoning from January 1995 to December 2005 were retrospectively analyzed. Results of unsuccessful or incomplete gastric lavage in 11 cases, atropine lack of use (including early atropisation is not ideal) in 21 cases, atropine withdrawal premature or excessive reduction in 7 cases, atropine overdose in 5 cases, taking a large amount of poisoning, severe poisoning 18 cases, treatment delay in 4 cases, sudden death in 2 cases. Conclusion gastric lavage is not complete, lack of atropine dosage and withdrawal too early or excessive reduction is the main reason for death of acute organophosphate poisoning.