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目的 :观察重度有机磷中毒抢救超早期阿托品应用剂量不同对抢救结果的影响。方法 :对 60例重度有机磷中毒随机分为治疗组及对照组。治疗组首次阿托品剂量为 40～ 60mg静推 ,以后每 5～ 8分钟观察治疗反应 ,如无反应 ,继续应用阿托品 ,超过常规剂量 ,并根据病情一般以 5～ 10分钟应用阿托品 10～ 2 0mg。结果 :治疗组在抢救成功率方面明显高于对照组 ,而治疗组较对照组阿托品应用总量明显减少 ,住院时间明显缩短。结论 :重度有机磷中毒超早期给予冲击剂量可以明显提高抢救成功率
Objective: To observe the effect of different doses of atropine on the rescue of severe organophosphorus poisoning. Methods: Sixty patients with severe organophosphate poisoning were randomly divided into treatment group and control group. The treatment group for the first time atropine dose of 40 ~ 60mg static push, after every 5 to 8 minutes to observe the treatment response, if no response, continue to use atropine, more than the conventional dose, and according to the general condition of 5 to 10 minutes atropine 10 ~ 20mg. Results: The treatment group was significantly higher in rescue success rate than the control group, while the treatment group than the control group atropine application significantly reduced the total, hospitalization time was significantly shortened. Conclusion: Severe organophosphate poisoning given early impact dose can significantly improve the success rate of rescue