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目的:探讨急性有机磷农药中毒致中间综合征的诊断与治疗,提高抢救成功率。方法:总结分析46例急性有机磷农药中毒致中间综合征患者的临床表现和治疗方法。结果:有机磷农药中毒并发中间综合征的46例,患者均出现不同程度的呼吸肌麻痹症,经及时气管插管及机械通气和早期足量应用特效抗毒药物,治愈39例,死亡7例。结论:急性有机磷农药中毒致中间综合征救治关键是早期彻底洗胃、早期应用特效抗毒药物、早期气管插管和机械通气。
Objective: To investigate the diagnosis and treatment of middle syndrome caused by acute organophosphorus pesticide poisoning and to improve the success rate of rescue. Methods: The clinical manifestations and treatment of 46 patients with intermediate syndrome caused by acute organophosphorus pesticide poisoning were summarized. Results: 46 cases of organophosphorus pesticide poisoning complicated with middle syndrome, all patients showed varying degrees of respiratory muscle paralysis. After timely tracheal intubation and mechanical ventilation and early adequate use of anti-virus drugs, 39 cases were cured and 7 died . Conclusion: The key to the treatment of middle syndrome caused by acute organophosphorus pesticide poisoning is early complete gastric lavage, early use of special anti-drug drugs, early tracheal intubation and mechanical ventilation.