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目的阐述经消化道急性有机磷农药中毒并发中间型综合征的临床特点及救治经验。方法回顾性分析 3 8例中间型综合征患者的症状、体征及使用阿托品、呼吸机等的治疗效果。结果所有患者均有明显急性胆碱能危象和呼吸肌麻痹 ,经抢救后治愈 3 5例( 92 % ) ,死亡 3例 ( 8% ) ,死亡原因为呼吸肌麻痹继发心跳骤停。结论中间型综合征病程有自限性特点 ,早开通气道 ,机械通气支持是抢救成功的关键。
Objective To describe the clinical features and treatment experience of middle syndrome caused by acute organophosphorus pesticide poisoning in the digestive tract. Methods A retrospective analysis of 38 patients with intermediate syndrome symptoms, signs and the use of atropine, ventilator and other treatment. Results All patients had obvious acute cholinergic crisis and respiratory muscle paralysis. After the rescue, 35 cases (92%) were cured and 3 died (8%). The cause of death was cardiac arrest after respiratory paralysis. Conclusion The course of middle syndrome has the characteristics of self-limiting. Early airway and mechanical ventilation support are the keys to successful rescue.