不少医疗单位,在抢救口服有机磷中毒时,遇神志清醒患者,常叫患者自行喝入洗胃液引吐,这一洗胃法是不好的,为什么呢?一、当患者服毒后就诊时胃内毒物浓度最高,如叫患者自喝洗胃液,当所喝洗胃液在胃内达到足够容量时才能引起呕吐,而此时因胃内容物增多,胃壁血管扩张,增加了毒物吸收,胃蠕动增强也增加了毒物进入肠腔而吸收的速度。患者如不合作,烦躁挣扎使心率加快、血流加速,也可加速毒物吸收。所以我们常可见到有的患者入院时神志清楚,在采用此法洗胃过程中病情急骤恶化;二、用此法洗胃延缓了洗胃时间,增加 Many medical units, in the rescue of oral organophosphate poisoning, the case of conscious patients, often called patients to drink into the gastric lavage fluid vomiting, the lavage method is not good, why? First, when the patient after taking the drug The highest concentration of toxic substances in the stomach, such as patients who called themselves gastric lavage, gastric lavage when drinking enough capacity in the stomach to cause vomiting, but this time due to increased gastric contents, dilated gastric vessels, increased toxic absorption, increased gastric motility Also increased the rate of poison into the intestine and absorption. Patients such as non-cooperation, irritability struggling to speed up the heart rate, blood flow accelerated, but also can speed up the absorption of poison. Therefore, we often see some patients admitted to the hospital consciousness, in the process of gastric lavage using this method, the sharp deterioration; Second, gastric lavage with this method delayed gastric lavage, increased