急性有机磷中毒(以下简称AOIP)病情凶险,死亡率高。其主要死因为呼吸衰竭,而呼吸肌麻痹为其呼衰最常见类型。现将我院1994年入院的3例重度AOIP合并呼吸肌麻痹的重危患者治愈成功。报告如下: 1 病例资料 例1.陈某,女,23岁,因婚恋受挫而口服1605原液250ml,半小时后于1994年4月24日9 5′/Am收入院。查体:BP 14.6/9.3kPa,面色苍白,皮肤湿冷,肌束震颤,神志恍惚,双瞳孔直径1mm,双肺干湿罗音,心率56次/分,血胆碱酯酶20％,诊为:重度AOIP”,当即用2％小苏打液彻底洗胃2次,(间隔6小时),立即肌注解磷注射液4支,静脉滴阿托品30mg,2小时后达轻度阿托品化,次日神志清醒,继续应用阿托品氮磷定,并换新鲜 Acute organophosphate poisoning (hereinafter referred to as AOIP) is extremely dangerous and has a high mortality rate. The main cause of death is respiratory failure, while respiratory muscle paralysis is the most common type of respiratory failure. Now in our hospital admitted to hospital in 1994, 3 cases of severe AOIP respiratory muscle paralysis in patients with severe success was cured. The report is as follows: 1 case data example 1. Chen, female, 23 years old, suffering from marriage and oral oral solution 160ml 250ml, half an hour later on April 24, 1994 9 5 ’/ Am income hospital. Physical examination: BP 14.6 / 9.3kPa, pale, cold and wet skin, tremor fasciculus, trance, double pupil diameter 1mm, lung wet and dry rales, heart rate 56 beats / min, blood cholinesterase 20% : Severe AOIP ", immediately with 2% baking soda thoroughly gastric lavage 2 times (6 hours interval), immediately intramuscular solution of phosphorus injection 4, intravenous infusion of atropine 30mg, up to 2 hours after mild atropine, the next day consciousness Awake, continue to use atropine nitrogen and set, and for fresh