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本院急诊科在1997年8月～2004年8月共7年时间收治的急性有机磷农药中毒的653例病人中,有63例曾在院内外首诊时被误诊为其它疾病,误诊率9.64%。现将其中症状不典型、病史不明确的病例分析如下。1 临床资料1.1 一般资料本组63例中,男40例,女23例,年龄14～90岁,平均50岁,其中14～18岁5例,19～60岁44例,61～90岁14例。中毒途径:喷洒有机磷农药过程中防护不当25例,误食被有机磷农药污染的蔬菜或食物28例,他人投毒7例,涂擦皮肤含有机磷药水致中毒3例。
Of the 653 acute organophosphorus pesticide poisoning patients admitted to our emergency department between August 1997 and August 2004 for a total of 7 years, 63 were misdiagnosed as other diseases at the first visit to the hospital, with a misdiagnosis rate of 9.64 %. At present, atypical symptoms, history is not clear case analysis is as follows. 1 Clinical data 1.1 General information The group of 63 cases, 40 males and 23 females, aged 14 to 90 years, mean 50 years, of which 14 to 18 years in 5 cases, 19 to 60 years old 44 cases, 61 to 90 years 14 example. Pathways of poisoning: In the course of spraying organic phosphorus pesticides, 25 cases were improperly protected, 28 cases of vegetables or food contaminated with organophosphorus pesticides were ingested, 7 were poisoned by others, and 3 cases were caused by poisoning of the skin with organophosphate pesticides.