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急性有机磷农药中毒的抢救中,阿托品虽不能恢复胆碱酯酶的活性,也无对抗烟硷样症状的作用,但可桔抗因中毒而造成的体内大量乙酰胆碱的蓄积,特别是当酶已“老化”或对复能剂无效的中毒(如乐果等)病人,合理而有效地使用阿托品是抢救成功的关键之一。现将抢救体会介绍如下。病例摘要:张××,女,16岁,自服乐果150ml,2小时后急送我院。查体:T35.5℃,P120次/分,R22次/分,BP16.7/8.7kPa。意识不清,面色苍白,口唇轻度发
Acute organophosphorus pesticide poisoning rescue, although the atropine can not restore the activity of cholinesterase, nor the role of nicotinamide-like symptoms, but can be anti-orange poisoning caused by the accumulation of large amounts of acetylcholine in the body, especially when the enzyme has been “Aging” or poisoning (eg dimethoate, etc.) that is ineffective in the presence of a complexing agent, the rational and effective use of atropine is one of the keys to successful salvage. Rescue experience now introduced below. Case Summary: Zhang × ×, female, 16 years old, self-service dimethoate 150ml, 2 hours after the emergency hospital. Physical examination: T35.5 ℃, P120 beats / min, R22 beats / min, BP16.7 / 8.7kPa. Unconscious, pale, lips slightly hair