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本文报道61例急性拟除虫菊酯(以下简称拟菊酯)农药中毒的临床表现,其中生产性中毒42例,口服中毒19例;急性溴氰菊酯中毒39例,急性戊氰菊酯中毒22例。生产性中毒者早期以皮肤烧灼、刺痒感较为多见,而口服中毒者多先出现胃肠道症状。生产性与口服中毒的症状基本相似,均以神经系统症状为主,有乏力、头晕、头痛、肉跳等,较重的患者精神萎糜、抽搐及意识障碍,部分患者有白细胞增高、低热、血压、心率及心电图等改变,经对症治疗患者全部治愈,最后对本病的诊断分级,发病机理及治疗药物进行讨论。
This paper reports the clinical manifestations of 61 cases of acute pyrethroid insecticides (hereinafter referred to as the pyrethroid) pesticide poisoning, including 42 cases of productive poisoning, oral poisoning in 19 cases; acute deltamethrin poisoning in 39 cases, acute cypermethrin poisoning in 22 cases . Productive poisoning in the early burning of the skin, itching is more common, and oral poisoning first appear more gastrointestinal symptoms. Productive and oral poisoning symptoms are similar, are mainly nervous system symptoms, fatigue, dizziness, headache, flesh jump, heavier spirit of patients with delirium, convulsions and disturbance of consciousness, some patients with leukocytosis, fever, Blood pressure, heart rate and ECG changes, all patients treated by symptomatic treatment, and finally the diagnosis and classification of the disease, pathogenesis and treatment of drugs were discussed.