论文部分内容阅读
目的探讨有机磷农药经皮肤黏膜接触中毒的诊断,为防治提供服务。方法选择我院收治的有机磷农药经皮肤黏膜等非消化道中毒的病例25例的临床资料作回顾性复习。结果 25例中被误诊16例,误诊率为64.0%,其中被误诊为急性胃肠炎6例、肺炎5例,急性心肌梗死和中暑各2例、肝性昏迷1例,抢救成功23例,死亡2例,治愈率92%。结论有机磷农药经皮肤黏膜接触性中毒,临床表现多样,病史不详,易被误诊。提高警惕,详细询问病史,及时测定血清胆碱酯酶活性,必要时用阿托品试验性治疗,有利早期诊断。
Objective To investigate the diagnosis of organophosphorus pesticide poisoning by dermal mucosal contact and provide services for prevention and treatment. Methods The clinical data of 25 cases of organophosphorus pesticides treated by non-gastrointestinal mucosa in our hospital were retrospectively reviewed. Results 25 cases were misdiagnosed 16 cases, the misdiagnosis rate was 64.0%, of which were misdiagnosed as acute gastroenteritis in 6 cases, pneumonia in 5 cases, acute myocardial infarction and heat stroke in 2 cases, 1 case of hepatic coma, rescue success in 23 cases, 2 died, the cure rate was 92%. Conclusion Organophosphorus pesticides by the skin and mucous membrane contact poisoning, clinical manifestations of diverse, history is unknown, easily misdiagnosed. To increase vigilance, detailed history, timely determination of serum cholinesterase activity, if necessary, atropine experimental treatment, early diagnosis.