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重度有机磷农药中毒在基层医院较为多见,且往往由于患者没有及时送院而导致抢救困难,所以死亡率也较高。本文就1997年以来在抢救重度有机磷农药中毒中,对7例极重度中毒患者用了血液灌注疗法,效果较为满意,现报告如下:1 临床资料1.1 一般资料 在本组病例中,男性2例,女性5例,年龄均在19～40岁之间,其是敌敌畏中毒3例,甲胺磷中毒2例,氧化乐果2例,7例均为口服中毒,口服量在100～200毫升之间。入院时患者均昏迷,合并急性肺水肿,其中4例心跳骤停五分钟以上。入院后经保留胃管反复洗胃,大剂量阿托品及胆碱酯酶复
Severe organophosphate pesticide poisoning is more common in primary hospitals, and often due to the patient did not promptly sent to hospital and lead to rescue difficulties, so the mortality rate is higher. This article on the rescue of severe organophosphorus pesticide poisoning since 1997, 7 cases of extremely severe poisoning patients with blood perfusion therapy, the effect is more satisfactory, are as follows: 1 Clinical data 1.1 General Information In this group of patients, 2 were male , 5 females, aged 19 to 40 years old, which is dichlorvos poisoning in 3 cases, methamidophos poisoning in 2 cases, omethoate in 2 cases, 7 cases were oral poisoning, oral dose of 100 to 200 ml between. Patients were coma on admission, with acute pulmonary edema, of which 4 cases of cardiac arrest more than five minutes. After admission, gastric lavage was repeated after gastric lavage, high-dose atropine and cholinesterase complex