论文部分内容阅读
近年来我们采用换血疗法抢救重症有机磷中毒21例,特报告如下。资料和方法21例重症有机磷中毒患者,男9例、女12例,年龄18～40岁。其中昏迷18例次,呼吸衰竭6例次、脑水肿5例次。1605中毒5例、1059中毒1例、乐果中毒8例、DDV中毒7例。血胆碱酯酶均低于30%,其中13例为0.对阿托品反应差5例、无反应16例.静注3～5mg阿托品后,心率<70次/分、瞳孔0.1cm、皮肤出汗无变化为无反应,静注3～5mg阿托品后,心率>90次/分,瞳孔仍小于0.2cm、皮肤出汗稍减轻为反应差。方法首先静脉放血300ml;然后输入同型鲜
In recent years, we use transfusion therapy to rescue 21 cases of severe organophosphate poisoning, special report is as follows. Materials and Methods 21 cases of severe organophosphorus poisoning patients, 9 males and 12 females, aged 18 to 40 years. Including coma 18 cases, respiratory failure 6 cases, 5 cases of cerebral edema. 5 cases of 1605 poisoning, 1 case of 1059 poisoning, 8 cases of dimethoate poisoning and 7 cases of DDV poisoning. Blood cholinesterase were less than 30%, of which 13 were 0. Poor response to atropine in 5 cases, 16 cases without response. After intravenous injection of 3 ~ 5mg atropine, the heart rate <70 beats / min, the pupil 0.1cm, the skin out No change in response to no response to sweat, intravenous injection of 3 ~ 5mg atropine, the heart rate> 90 beats / min, the pupil is still less than 0.2cm, the skin sweat a little lighter for the poor response. Method First venous blood 300ml; then enter the same type of fresh