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近几年来,国内有多篇关于手术切开洗胃抢救重度有机磷农药中毒的报告。我院自1978年以来对反复插胃管失败及因食物堵塞或服量过大而胃管洗胃不能彻底的重度有机磷农药中毒者7例行切开洗胃取得满意效果,报告如下: 一般资料男5例,女2例,年龄19~53岁,均确诊为重度有机磷农药中毒。临床上除有明确的服药史、典型症候群以外,尚有深昏迷,有的伴呼吸衰竭、循环衰竭。全部病例均应用足量阿托品、解磷定、对症处理等综合治疗。因各种原因均插管失败,或食物堵塞胃
In recent years, there are many domestic reports on surgical incision gastric lavage to save severe organophosphorus pesticide poisoning report. Since 1978, our hospital repeatedly inserted gastric tube failure and due to food clogging or excessive volume and gastric lavage can not be thoroughly severe organophosphorus pesticide poisoning in patients with seven routine incision lavage achieved satisfactory results, the report is as follows: General Data of 5 males and 2 females, aged 19 to 53 years old, were diagnosed as severe organophosphorus pesticide poisoning. In addition to a clear clinical history of medication, typical syndromes, there are deep coma, and some with respiratory failure, circulatory failure. Adequate use of atropine in all cases, solution of phosphorus, symptomatic treatment and other comprehensive treatment. Catheter failure due to various reasons, or food clogging stomach