论文部分内容阅读
急性有机磷农药中毒治疗过程中一旦出现反跳,病情凶险,死亡率高。为探索有效治疗方法,自1989年始我们尝试给以大剂量阿托品为主的综合治疗,取得较好疗效,现将资料总结如下。 1 临床资料 1.1 一般资料男11例,女7例,共18例。年龄1～9岁。诊断标准:18例均系有机磷中毒经治疗后已明显好转,又突然出现严重中毒症状者。为便于观察,我们根据反跳时病情严重程度不同分为两型:轻型8例,表现为瞳孔由大变小,皮肤由潮红转为苍白,肺部啰音复现,意识由清醒转为昏睡或由躁动转为抑制;重型10例,除有轻型的表现外又有昏迷或伴有呼吸、循环衰竭,其中仅有昏迷的6例、昏迷伴
Acute organophosphorus pesticide poisoning in the event of treatment rebound, dangerous, high mortality. To explore an effective treatment, since 1989, we try to give a large dose of atropine-based comprehensive treatment, and achieved good results, the data summarized below. 1 Clinical data 1.1 General Information 11 males and 7 females, a total of 18 cases. Ages 1 to 9 years old. Diagnostic criteria: 18 cases were organophosphate poisoning after treatment has been significantly improved, but also suddenly appeared serious symptoms of poisoning. In order to facilitate the observation, we divided into two types according to the severity of the rebound: 8 cases of light, manifested as the pupil from big to small, the skin from flush to pale, pulmonary rales reappear, consciousness from awake to drowsiness Or from agitation to inhibition; heavy 10 cases, in addition to a light performance and coma or with respiratory, circulatory failure, of which only 6 cases of coma, coma with