我科从1986—07～1988—12,共收治各种急性中毒患者382例,其中男97例,女285例,30岁以下占70.1％,中毒种类达16种之多,以镇静安眠药占首位,其次为有机磷农药中毒,经过积极抢救死亡8例,现把在抢救中所遇几个特殊问题讨论如下。 1 洗胃问題 凡口服毒物而引起中毒都应该及时、彻底洗胃清除毒物,这是抢救急性中毒患者的关键。洗胃时选用何种液体也至关重要。目前常用的液体有高锰酸钾,温清水。当选用高锰酸钾液体洗胃时,要特别注意服毒的化合物中是否有硫代硫酸脂类,否则这个化合物易被氧化而毒性增强,凡是内服的毒物还搞不清楚时,应该一律用 Our department from 1986-07 ~ 1988-12, received a total of 382 cases of acute poisoning patients, including 97 males and 285 females, 70.1% under the age of 30, as many as 16 types of poisoning, with sedatives sleeping pills topped the list , Followed by organophosphorus pesticide poisoning, after active rescue and death in 8 cases, now encountered in the rescue of several special problems discussed below. 1 gastric lavage problems where poisoning caused by oral poisoning should be promptly and thoroughly gastric lavage removal of poison, which is the key to rescue patients with acute poisoning. What kind of fluid should be used when gastric lavage is also important. Commonly used liquid potassium permanganate, warm water. The use of potassium permanganate liquid gastric lavage, we must pay special attention to poisonous compounds whether there is thiosulfate, or the compound easily oxidized and increased toxicity, all oral administration of toxic substances are still confused, they should be uniformly