有机磷农药中毒抢救过程中医源性阿托品中毒(附69例临床分析)

Iatrogenic Atropine Poisoning Occuring in the Process of Saving Organicphosphorus Pesticide Poisoning (A Clinical Analysis of 69 Cases)

有机磷农药中毒抢救过程中发生医源性阿托品中毒69例,预后严重,可致脑水肿、肺水肿、呼吸衰竭等多种严重并发症甚至死亡。本组死亡6例,占8.7％。中毒主要原因是给药速率过快及临床识别困难。作者强调对于一时识别困难的病例立即行减量试验。

The authors reported 69 cases of iatrogenic atropine poisoning occuing in the process of saving organicphosphorus pesticide poisoning.The atropine poisoning can also lead to some critical complications such as encephaledema, wet lung, respiratory failure or even death.6 cases had died in 69 cases(8.7％). Large amount of atropine given in a short time and difficulty in recognition of toxicosis were responsible for its poisonig. The indication of atropine poisoning and the therapy for it were recommended in the paper. It wes emphasized that atropine reduce test should be immediately carried out for the cases of suspicious poisoning