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抢救氟乙酰胺类鼠药中毒 10 3例 ,其中 1～ 13岁 70例 ,13岁以上 43例 ,男性 42例 ,女性 6 1例。儿童以误服多见 ,成人多为自服 ,服药时间 0 .5～ 36小时不等。临床表现有 :恶心、呕吐、抽搐、呼吸抑制、昏迷、心律失常等中毒症状。所有病人急诊予以洗胃、导泻、吸氧、乙酰胺解毒、心脏复苏、对症等治疗后分别转送急诊内科及儿科病房继续治疗 (除死亡病例外 )。结果治愈 77例 ,好转 6例 ,死亡 19例 ,自动出院 1例。结果提示氟乙酰胺类鼠药中毒患者发病急、病情复杂、危重 ,其愈后取决于急诊医师早期诊断治疗。
Rescue 103 cases of fluoroacetamide rat poisoning, of which 70 cases of 1 to 13 years old, 43 cases over the age of 13, 42 males and 61 females. Children mistakenly served more common, adults mostly self-serving, taking 0.5 to 36 hours time. Clinical manifestations are: nausea, vomiting, convulsions, respiratory depression, coma, arrhythmia and other symptoms of poisoning. All patients were referred to emergency department of internal medicine and pediatric wards after treatment of gastric lavage, catharsis, oxygen inhalation, acetamide detoxification, cardiac resuscitation and symptomatic treatment (except death cases). Results 77 cases were cured, 6 cases improved, 19 cases died and 1 case was discharged automatically. The results suggest that fluoroacetamide rat poisoning patients with acute onset, the condition is complicated and critically ill, the prognosis depends on the emergency diagnosis and treatment of emergency physicians.