口服有机磷农药重度中毒伴呼吸衰竭时 ,由于先行气管插管 ,胃管很难顺利插入 ,以致延长病人抢救时间病死率高。我院于 1997年 2月至 2 0 0 1年 10月接诊重度有机磷农药中毒伴呼吸衰竭 71例 ,其中 2 6例采用机械通气支持胃镜洗胃救治 ,取得了良好的效果 ,报告如下。1　病例与方 Oral organophosphate pesticide severe poisoning with respiratory failure, due to the first tracheal intubation, gastric tube is difficult to successfully inserted, resulting in prolonged patient mortality high mortality. Our hospital from February 1997 to October 2001 admitted 71 cases of severe organophosphorus pesticide poisoning with respiratory failure, of which 26 cases were treated with mechanical ventilation gastroscope assisted gastric lavage, and achieved good results, the report is as follows. 1 cases and parties