拜读天津医药杂志1965年第3期肖祥发等同志《16例急性磷化锌中毒之初步临床观察》后,愿提出一管之见供作者和读者参考。作者等对磷化锌中毒重症伴有心动徐缓、心律不齐的患者,除注射阿托品外,尚应用了辟磷锭(P A M)500～1500毫克静脉滴注,并谓此疗法可收一定效果。对此,笔者认为有商榷的必要。 After reading the first clinical observation of 16 cases of acute zinc phosphide poisoning by Tianjin Medical and Pharmaceutical Journal, No. 3, 1965, Xiao Xiangfa and others, I would like to offer a reference for both authors and readers. In addition to injection of atropine, patients with severe symptoms of zinc phosphide poisoning, such as bradycardia and arrhythmia, were given intravenous infusion of 500 to 1,500 mg of P A M, and the treatment was deemed effective. In this regard, I think there is a need for discussion.