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我院1980年10月~1982年2月共收治急性杀虫脒中毒40例.一般资料 40例中均为成年人.喷药中毒者4人,误服者36人.临床表现:轻型:乏力、嗜睡、多汗、恶心、呕吐,口唇及全身皮肤出现轻度青紫.重度:面色灰蓝,口唇、指端呈暗紫色,全身青紫加重,进而昏迷.合并血尿,膀胱刺激征者3人.治疗方法1、首先清除毒物:因喷洒而中毒者,要及时清除被污染的衣物,洗净皮肤.误服者,用1:5000过锰酸钾液洗胃催吐,而后导泻(用硫酸镁20~30克).2、对紫绀严重和有呼吸衰竭症状者,给氧.3、亚甲兰(美兰):小剂量:1~2毫克/公斤;大剂量:5~10毫克/公斤,加入5~10%葡萄糖内静滴.一般都用小剂量,如吞服量多,
Our hospital from October 1980 to February 1982 were treated 40 cases of acute chlordimeform poisoning.General information 40 were adults.Pharmaceutical poisoning 4 people, 36 patients were taken.Clinical manifestations: light: fatigue , Drowsiness, hyperhidrosis, nausea, vomiting, slight blueishness on lips and whole body. Severe: grayish blue, lips, dark purple finger, body purple increased, and then coma .Hematuria, bladder irritation sign 3. Treatment Method 1, first clear the poison: poisoned by spraying, to promptly remove the contaminated clothing, wash the skin.Applied patients with 1: 5000 potassium permanganate stomach gastric emetic, and then catharsis (with magnesium sulfate 20 ~ 30 grams) .2, for cyanotic and respiratory failure symptoms, oxygen.3, methylene blue (Meilan): small dose: 1 ~ 2 mg / kg; high dose: 5 to 10 mg / kg, Add 5 to 10% intravenous infusion of glucose are generally used in small doses, such as swallowed more,