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目的探讨急性有机磷农药中毒救治体会。方法回顾性分析2004年1月至2008年12月共收治有机磷农药中毒210例临床资料。结果本组210例患者中193例患者在给予彻底有效洗胃及应用抗胆碱药物、胆碱酯酶复能剂等处理后均痊愈出院,抢救成功率为90.2%。10例因口服农药剂量过大,加之来院就诊不及时,经抢救无效死亡,其中8例死于急性呼吸衰竭,2例死于阿托品中毒。结论急性有机磷农药中毒在基层医院较多见,治疗过程中应注意:早期彻底洗胃、阿托品正确应用、复能剂合理使用、防止主要脏器损害。
Objective To investigate the treatment of acute organophosphorus pesticide poisoning. Methods Retrospective analysis of clinical data of 210 cases of organophosphorus pesticide poisoning admitted from January 2004 to December 2008. Results 193 patients in this group of 210 patients were given complete and effective gastric lavage and anticholinergic drugs, cholinesterase and other agents were cured and discharged, the rescue success rate was 90.2%. 10 cases due to excessive doses of oral pesticides, coupled with hospital treatment is not timely, died of rescue ineffective, of which 8 died of acute respiratory failure, 2 patients died of atropine poisoning. Conclusion Acute organophosphorus pesticide poisoning is more common in grass-roots hospitals. During the course of treatment, gastric lavage should be thoroughly treated in the early stage of gastric lavage. The correct application of atropine should be used in early stage to prevent the damage of major organs.