有机磷农药中毒临床特征及治疗方法探讨

Investigate the Clinical Characteristics and Treatment Method of Organophosphorus Pesticide Poisoning

目的观察有机磷农药中毒的临床特征,探讨本病综合治疗措施及疗效。方法选取2010年1月~2015年1月在我院收治的156例有机磷农药中毒患者的病例,将所有患者的临床资料进行回顾性分析。结果统计敌百虫中毒者25例,氧化乐果中毒者12例,敌敌畏中毒者119例;临床均表现有恶心、头晕、体虚乏力、呼吸困难、腹痛等症状,并伴有不同程度的流涎、呕吐、瞳孔缩小,严重者可伴有不同程度的昏迷;经积极综合性治疗全部治愈出院。结论依据中毒途径不同采取有效急救措施,阿托品在临床急救中正确应用,各种治疗措施配合并举,能有效提高中毒患者的生存率。

Objective Observe the clinical characteristics of organophosphorus pesticide poisoning, to discuss the disease comprehensive treatment measures and curative effect. Methods Selection 156 cases of patients with organophosphorus pesticide poisoning in January 2010 ~ January 2015 from our hospital, all patients with clinical data were retrospectively analyzed. Results The dipterex poisoning in 25 cases,omethoate poisoning in 12 cases, dichlorvos poisoning in 119 cases;Clinical were nausea, dizziness, body deficiency symptoms such as fatigue, difficulty in breathing, abdominal pain, accompanied by varying degrees of salivate, vomiting, miosis, severe cases may be accompanied by varying degrees of coma. The positive comprehensive treatment cure all discharged from hospital. Conclusion On the basis of poisoning way different take effective emergency measures, atropine correct application in the clinical first aid, cooperate and various treatment measures, can effectively improve the survival rate of poisoning patients.