浅析抢救有机磷中毒次生阿托品过量

Analysis of secondary consequences of atropine overdose in the rescue of organophosphate poisoning

目的:为了更好地避免有机磷中毒抢救中因应用阿托品过量产生的次生后果。方法:筛查出236例有机磷中毒患者中,因抢救有机磷中毒使用阿托品过量(中毒)的32例临床资料。结果:30例病人经调整阿托品用量及积极综合对症治疗后最终痊愈出院,两例既往有糖尿病的患者因合并肺部感染死于呼吸衰竭。结论:正确地应用阿托品是抢救成功的关键。

Objective To avoid the secondary consequences of atropine overdose in the rescue of organophosphate poisoning.Methods： The clinical data of 32 case treated with atropine overdose was selected among 236 cases of organophosphate poisoning. Results：30 cases of patients after adjusting the dosage of atropine and active comprehensive symptomatic treatment eventually recovered anddischarged, while 2 cases with diabetes combined with pulmonary infection died of respiratory failure. Conclusion： The correct applicationof atropine is a key to the success of the rescue.